ANGELA LESLIE SMITH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013053

License Status

INACTIVE

Business

First Name

ANGELA

Middle

LESLIE

Last Name

SMITH

Business Name

ANGELA LESLIE SMITH

Original Issue Date

09/01/2009

Effective Date

09/01/2009

Expiration Date

09/30/2012

City

GARY

State

Zip

46403

County

INDIANA

Ever Disciplined

LastModifiedDate

06/06/2012