TRACI L ROSS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008207

License Status

INACTIVE

Business

First Name

TRACI L

Last Name

ROSS

Business Name

TRACI L ROSS

Original Issue Date

06/21/1994

Effective Date

06/21/1994

Expiration Date

09/30/2004

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005