KRISTIAN A EDWARDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009582

License Status

INACTIVE

Business

First Name

KRISTIAN

Middle

Last Name

EDWARDS

Business Name

KRISTIAN A EDWARDS

Original Issue Date

08/04/1999

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FISHERS

State

Zip

46038

County

WILL

Ever Disciplined

LastModifiedDate

07/24/2006