PAIGE NICOLE FARABAUGH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014800

License Status

NOT RENEWED

Business

First Name

PAIGE

Middle

NICOLE

Last Name

FARABAUGH

Business Name

PAIGE NICOLE FARABAUGH

Original Issue Date

07/28/2014

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

10/31/2018