DEBORAH ANN FARRELL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010254

License Status

INACTIVE

Business

First Name

DEBORAH

Middle

ANN

Last Name

FARRELL

Business Name

DEBORAH ANN FARRELL

Original Issue Date

03/22/2002

Effective Date

03/22/2002

Expiration Date

09/30/2004

City

FORT WAYNE

State

Zip

46845

Ever Disciplined

LastModifiedDate

10/17/2005