LAURIE ANN TENNANT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006059

License Status

NOT RENEWED

Business

First Name

LAURIE ANN

Last Name

TENNANT

Business Name

LAURIE ANN TENNANT

Original Issue Date

04/29/1986

Effective Date

04/29/1986

Expiration Date

09/30/1990

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005