SHELLY L HAUSMANN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014268

License Status

INACTIVE

Business

First Name

SHELLY

Middle

Last Name

HAUSMANN

Business Name

SHELLY L HAUSMANN

Original Issue Date

04/16/2013

Effective Date

09/19/2018

Expiration Date

09/30/2021

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

09/19/2018