MONICA LYNN BLACKWELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011406

License Status

ACTIVE

Business

First Name

MONICA

Middle

LYNN

Last Name

BLACKWELL

Business Name

MONICA LYNN BLACKWELL

Original Issue Date

07/20/2005

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

OTTERBEIN

State

Zip

47970

Ever Disciplined

LastModifiedDate

09/12/2024