LYNN ELLEN HOLM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002639

License Status

NOT RENEWED

Business

First Name

LYNN ELLEN

Last Name

HOLM

Business Name

LYNN ELLEN HOLM

Original Issue Date

07/29/1975

Effective Date

07/29/1975

Expiration Date

04/01/1982

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005