ELLISA M BEISHUIZEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011137

License Status

ACTIVE

Business

First Name

ELLISA

Middle

Last Name

BEISHUIZEN

Business Name

ELLISA M BEISHUIZEN

Original Issue Date

08/17/2004

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

09/22/2024