LYVONNE D WASHINGTON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011092

License Status

NOT RENEWED

Business

First Name

LYVONNE D

Last Name

WASHINGTON

Suffix

DDS

Business Name

LYVONNE D WASHINGTON DDS

Original Issue Date

08/22/1957

Effective Date

08/22/1957

Expiration Date

09/30/1988

City

INDIANAPOLIS

State

Zip

46208

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005