MARY FAITH DALZOTTO Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004608

License Status

INACTIVE

Business

First Name

MARY FAITH

Last Name

DALZOTTO

Business Name

MARY FAITH DALZOTTO

Original Issue Date

07/21/1981

Effective Date

07/21/1981

Expiration Date

09/30/2002

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005