CAROL A DEFRIES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006233

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

DEFRIES

Business Name

CAROL A DEFRIES

Original Issue Date

08/15/1986

Effective Date

08/15/1986

Expiration Date

09/30/1998

City

DEMOTTE

State

Zip

46310

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005