CANDACE C BRIDEGROOM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013729

License Status

NOT RENEWED

Business

First Name

CANDACE

Middle

Last Name

BRIDEGROOM

Business Name

CANDACE C BRIDEGROOM

Original Issue Date

07/26/2011

Effective Date

09/23/2015

Expiration Date

09/30/2018

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

10/31/2018