CARRIE ANN MAXIMA MCCLISH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011906

License Status

NOT RENEWED

Business

First Name

CARRIE ANN

Middle

MAXIMA

Last Name

MCCLISH

Business Name

CARRIE ANN MAXIMA MCCLISH

Original Issue Date

10/11/2006

Effective Date

10/11/2006

Expiration Date

09/30/2009

City

INDIANAPOLIS

State

Zip

46234

County

INDIANA

Ever Disciplined

LastModifiedDate

11/04/2009