CORRIE LEE FOX Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012608

License Status

NOT RENEWED

Business

First Name

CORRIE

Middle

LEE

Last Name

FOX

Business Name

CORRIE LEE FOX

Original Issue Date

07/16/2008

Effective Date

09/08/2009

Expiration Date

09/30/2012

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2012