SASHA N CORNETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014198

License Status

NOT RENEWED

Business

First Name

SASHA

Middle

Last Name

CORNETT

Business Name

SASHA N CORNETT

Original Issue Date

10/22/2012

Effective Date

10/22/2012

Expiration Date

09/30/2015

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016