BRENDA SUE DETZNER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003275

License Status

INACTIVE

Business

First Name

BRENDA SUE

Last Name

DETZNER

Business Name

BRENDA SUE DETZNER

Original Issue Date

07/21/1977

Effective Date

07/21/1977

Expiration Date

09/30/2000

City

LAFAYETTE

State

Zip

47905

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005