SANDRA BETH NIDETZ Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005598

License Status

INACTIVE

Business

First Name

SANDRA BETH

Last Name

NIDETZ

Business Name

SANDRA BETH NIDETZ

Original Issue Date

08/02/1984

Effective Date

06/07/2018

Expiration Date

09/30/2021

City

MESA

State

Zip

85206

County

COOK

Ever Disciplined

LastModifiedDate

06/12/2018