KRISTIE MICHELLE MOON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013372

License Status

INACTIVE

Business

First Name

KRISTIE

Middle

MICHELLE

Last Name

MOON

Business Name

KRISTIE MICHELLE MOON

Original Issue Date

07/29/2010

Effective Date

07/29/2010

Expiration Date

09/30/2012

City

OSCEOLA

State

Zip

46561

County

INDIANA

Ever Disciplined

LastModifiedDate

06/06/2012