MICHELE RENEE HENNIG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013803

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

RENEE

Last Name

HENNIG

Business Name

MICHELE RENEE HENNIG

Original Issue Date

09/23/2011

Effective Date

09/23/2011

Expiration Date

09/30/2012

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2012