BEVERLY ANN HENRY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005592

License Status

NOT RENEWED

Business

First Name

BEVERLY ANN

Last Name

HENRY

Business Name

BEVERLY ANN HENRY

Original Issue Date

08/02/1984

Effective Date

08/02/1984

Expiration Date

09/30/1992

City

INDIANAPOLIS

State

Zip

46250

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005