MELISSA DALE ANDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008668

License Status

NOT RENEWED

Business

First Name

MELISSA DALE

Last Name

ANDERSON

Business Name

MELISSA DALE ANDERSON

Original Issue Date

04/04/1996

Effective Date

04/04/1996

Expiration Date

09/30/1998

City

ZIONSVILLE

State

Zip

46077

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005