ANN MARIE MOFFITT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009892

License Status

INACTIVE

Business

First Name

ANN MARIE

Last Name

MOFFITT

Business Name

ANN MARIE MOFFITT

Original Issue Date

08/11/2000

Effective Date

08/11/2000

Expiration Date

09/30/2002

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005