MELINDA LEE FIELDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015030

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

LEE

Last Name

FIELDS

Business Name

MELINDA LEE FIELDS

Original Issue Date

04/06/2015

Effective Date

04/06/2015

Expiration Date

09/30/2015

City

LOOGOOTEE

State

Zip

47553

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016