LORI ANNE WAHL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010810

License Status

INACTIVE

Business

First Name

LORI

Middle

ANNE

Last Name

WAHL

Business Name

LORI ANNE WAHL

Original Issue Date

10/06/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

JASPER

State

Zip

47546

Ever Disciplined

LastModifiedDate

07/24/2006