KELLY DUFRESNE FABRE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011571

License Status

INACTIVE

Business

First Name

KELLY

Middle

DUFRESNE

Last Name

FABRE

Business Name

KELLY DUFRESNE FABRE

Original Issue Date

12/14/2005

Effective Date

06/08/2009

Expiration Date

09/30/2012

City

VACHERIE

State

Zip

70090

County

LOUISIANA

Ever Disciplined

LastModifiedDate

06/06/2012