KIM R BALKEMA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011673

License Status

INACTIVE

Business

First Name

KIM

Middle

Last Name

BALKEMA

Business Name

KIM R BALKEMA

Original Issue Date

06/22/2006

Effective Date

09/10/2015

Expiration Date

09/30/2018

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

06/07/2018