KIMBERLY LEANNE ROBERTS - Dentist License in Indiana | # 020013043

KIMBERLY LEANNE ROBERTS

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013043

License Status

INACTIVE

Business

N

First Name

KIMBERLY

Middle

LEANNE

Last Name

ROBERTS

Business Name

KIMBERLY LEANNE ROBERTS

Original Issue Date

08/25/2009

Effective Date

08/25/2009

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

06/06/2012