LACY LYNN DEWITT - Dentist License in Indiana | # 020013514

LACY LYNN DEWITT

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013514

License Status

NOT RENEWED

Business

N

First Name

LACY

Middle

LYNN

Last Name

DEWITT

Business Name

LACY LYNN DEWITT

Original Issue Date

05/03/2011

Effective Date

09/13/2012

Expiration Date

09/30/2015

State

IN

Ever Disciplined

N

LastModifiedDate

04/25/2016