CHARLENE DITTO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007599

License Status

NOT RENEWED

Business

First Name

CHARLENE

Last Name

DITTO

Business Name

CHARLENE DITTO

Original Issue Date

11/25/1991

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

11/04/2009