ALITA M BONICK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006550

License Status

INACTIVE

Business

First Name

ALITA M

Last Name

BONICK

Business Name

ALITA M BONICK

Original Issue Date

09/23/1987

Effective Date

09/23/1987

Expiration Date

09/30/1992

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005