LAURETTA JANE GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001970

License Status

NOT RENEWED

Business

First Name

LAURETTA JANE

Last Name

GREEN

Business Name

LAURETTA JANE GREEN

Original Issue Date

07/11/1973

Effective Date

07/11/1973

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005