TRACY LYNN BOUDREAU Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010058

License Status

INACTIVE

Business

First Name

TRACY

Middle

LYNN

Last Name

BOUDREAU

Business Name

TRACY LYNN BOUDREAU

Original Issue Date

08/10/2001

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WESTERVILLE

State

Zip

43081

County

OHIO

Ever Disciplined

LastModifiedDate

07/24/2006