NANCY ANN BONAGURO Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002609

License Status

INACTIVE

Business

First Name

NANCY ANN

Last Name

BONAGURO

Business Name

NANCY ANN BONAGURO

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1992

City

LAKE VILLAGE

State

Zip

46349

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005