MELISSA KATHERINE ANDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032318

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

KATHERINE

Last Name

ANDERSON

Business Name

MELISSA KATHERINE ANDERSON

Original Issue Date

07/30/2019

Effective Date

07/30/2019

Expiration Date

01/31/2022

City

BALTIMORE

State

Zip

21231

Ever Disciplined

LastModifiedDate

05/09/2022