BRENDA L GAVIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013447

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

GAVIN

Business Name

BRENDA L GAVIN

Original Issue Date

12/13/2010

Effective Date

12/13/2010

Expiration Date

09/30/2012

City

PORTER

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2012