KATHLEEN M BANDURA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007593

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

BANDURA

Business Name

KATHLEEN M BANDURA

Original Issue Date

11/12/1991

Effective Date

11/12/1991

Expiration Date

09/30/2002

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005