MARY TERPSTRA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003811

License Status

INACTIVE

Business

First Name

MARY

Last Name

TERPSTRA

Business Name

MARY TERPSTRA

Original Issue Date

06/26/1979

Effective Date

06/19/2018

Expiration Date

12/31/2021

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

09/12/2021