REBECCA RAE NIDA - Dentist License in Indiana | # 020014637

REBECCA RAE NIDA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014637

License Status

NOT RENEWED

Business

N

First Name

REBECCA

Middle

RAE

Last Name

NIDA

Business Name

REBECCA RAE NIDA

Original Issue Date

03/25/2014

Effective Date

10/01/2015

Expiration Date

09/30/2018

State

IN

Ever Disciplined

N

LastModifiedDate

10/31/2018