MARTHA ANTOINETT BIANCO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002521

License Status

NOT RENEWED

Business

First Name

MARTHA ANTOINETT

Last Name

BIANCO

Business Name

MARTHA ANTOINETT BIANCO

Original Issue Date

07/10/1975

Effective Date

07/10/1975

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005