JENNIFER E PLOETZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005369

License Status

NOT RENEWED

Business

First Name

JENNIFER E

Last Name

PLOETZ

Business Name

JENNIFER E PLOETZ

Original Issue Date

08/08/1983

Effective Date

08/08/1983

Expiration Date

09/30/1984

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005