CHARLENE KRULL SURUFKA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005209

License Status

NOT RENEWED

Business

First Name

CHARLENE

Last Name

KRULL SURUFKA

Business Name

CHARLENE KRULL SURUFKA

Original Issue Date

07/18/1983

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

05/09/2022