TONYA LYNN BUTALA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014803

License Status

NOT RENEWED

Business

First Name

TONYA

Middle

LYNN

Last Name

BUTALA

Business Name

TONYA LYNN BUTALA

Original Issue Date

07/28/2014

Effective Date

07/28/2014

Expiration Date

09/30/2015

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

04/25/2016