MARIGENE CHASE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002587

License Status

NOT RENEWED

Business

First Name

MARIGENE

Last Name

CHASE

Business Name

MARIGENE CHASE

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/2002

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005