DUSTIN DURNELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031586

License Status

NOT RENEWED

Business

First Name

DUSTIN

Last Name

DURNELL

Business Name

DUSTIN DURNELL

Original Issue Date

06/04/2018

Effective Date

06/04/2018

Expiration Date

01/31/2022

City

FORT WAYNE

State

Zip

46804

Ever Disciplined

LastModifiedDate

05/09/2022