JENNIFER L THIEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026500

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

THIEL

Suffix

DDS

Business Name

JENNIFER L THIEL DDS

Original Issue Date

06/30/2004

Effective Date

06/29/2009

Expiration Date

09/30/2012

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2012