LAURA J EDENS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011512

License Status

INACTIVE

Business

First Name

LAURA

Middle

Last Name

EDENS

Business Name

LAURA J EDENS

Original Issue Date

09/07/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FORT MADISON

State

Zip

52627

County

IOWA

Ever Disciplined

LastModifiedDate

07/24/2006