MELISSA L BONNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012106

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

BONNER

Business Name

MELISSA L BONNER

Original Issue Date

06/19/2007

Effective Date

11/23/2021

Expiration Date

09/30/2024

City

VALPARAISO

State

Zip

46383

Ever Disciplined

LastModifiedDate

02/04/2025