MICHELE RENEE HENNIG - Dentist License in Indiana | # 020013803

MICHELE RENEE HENNIG

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013803

License Status

NOT RENEWED

Business

N

First Name

MICHELE

Middle

RENEE

Last Name

HENNIG

Business Name

MICHELE RENEE HENNIG

Original Issue Date

09/23/2011

Effective Date

09/23/2011

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2012