TRACY LYNN BOUDREAU - Dentist License in Ohio | # 020010058

TRACY LYNN BOUDREAU

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010058

License Status

INACTIVE

Business

N

First Name

TRACY

Middle

LYNN

Last Name

BOUDREAU

Business Name

TRACY LYNN BOUDREAU

Original Issue Date

08/10/2001

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

OH

Ever Disciplined

N

LastModifiedDate

07/24/2006