CHARLOTTE ELAINE SCHAFER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001934

License Status

NOT RENEWED

Business

First Name

CHARLOTTE ELAINE

Last Name

SCHAFER

Business Name

CHARLOTTE ELAINE SCHAFER

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/1992

City

FORT WAYNE

State

Zip

46825

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005