MELISSA MARIE BUSHONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011857

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARIE

Last Name

BUSHONG

Business Name

MELISSA MARIE BUSHONG

Original Issue Date

08/18/2006

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

LAKEWOOD

State

Zip

80235

County

COLORADO

Ever Disciplined

LastModifiedDate

04/25/2016