DANELLE ELEANOR DISTERHOFT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002513

License Status

INACTIVE

Business

First Name

DANELLE ELEANOR

Last Name

DISTERHOFT

Business Name

DANELLE ELEANOR DISTERHOFT

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/2004

City

BOULDER

State

Zip

80303

County

COLORADO

Ever Disciplined

LastModifiedDate

10/17/2005