VIRGINIA D UMBDENSTOCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001586

License Status

NOT RENEWED

Business

First Name

VIRGINIA D

Last Name

UMBDENSTOCK

Business Name

VIRGINIA D UMBDENSTOCK

Original Issue Date

09/08/1971

Effective Date

09/08/1971

Expiration Date

09/30/1986

City

FORT WAYNE

State

Zip

46825

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005