RUTH E SHUPE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001342

License Status

NOT RENEWED

Business

First Name

RUTH E

Last Name

SHUPE

Business Name

RUTH E SHUPE

Original Issue Date

07/07/1970

Effective Date

07/07/1970

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005