MARCIA EILLEEN GRESBACK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003996

License Status

INACTIVE

Business

First Name

MARCIA EILLEEN

Last Name

GRESBACK

Business Name

MARCIA EILLEEN GRESBACK

Original Issue Date

09/05/1979

Effective Date

09/05/1979

Expiration Date

09/30/1992

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005