KATRINA MARIE LACKHOUSE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014394

License Status

ACTIVE

Business

First Name

KATRINA

Middle

MARIE

Last Name

LACKHOUSE

Business Name

KATRINA MARIE LACKHOUSE

Original Issue Date

07/23/2013

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

GRIFFITH

State

Zip

46319

Ever Disciplined

LastModifiedDate

05/02/2024