KRISTIN RACHEL OTT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010505

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

RACHEL

Last Name

OTT

Business Name

KRISTIN RACHEL OTT

Original Issue Date

10/25/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ISHPEMING

State

Zip

49849

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/09/2007