KIMBERLY LEANNE ROBERTS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013043

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

LEANNE

Last Name

ROBERTS

Business Name

KIMBERLY LEANNE ROBERTS

Original Issue Date

08/25/2009

Effective Date

08/25/2009

Expiration Date

09/30/2012

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

06/06/2012