KIMBERLY A SHORTRIDGE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009170

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

SHORTRIDGE

Business Name

KIMBERLY A SHORTRIDGE

Original Issue Date

04/20/1998

Effective Date

04/20/1998

Expiration Date

09/30/2002

City

GREENWOOD

State

Zip

46142

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005