LACY LYNN DEWITT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013514

License Status

NOT RENEWED

Business

First Name

LACY

Middle

LYNN

Last Name

DEWITT

Business Name

LACY LYNN DEWITT

Original Issue Date

05/03/2011

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

PLYMOUTH

State

Zip

46563

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016