DOMISHA KORREAN WASHINGTON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011393

License Status

ACTIVE

Business

First Name

DOMISHA

Middle

KORREAN

Last Name

WASHINGTON

Business Name

DOMISHA KORREAN WASHINGTON

Original Issue Date

07/18/2005

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

HAMMOND

State

Zip

46323

Ever Disciplined

LastModifiedDate

09/25/2024