ANGELA LESLIE SMITH - Dentist License in Indiana | # 020013053

ANGELA LESLIE SMITH

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013053

License Status

INACTIVE

Business

N

First Name

ANGELA

Middle

LESLIE

Last Name

SMITH

Business Name

ANGELA LESLIE SMITH

Original Issue Date

09/01/2009

Effective Date

09/01/2009

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

06/06/2012