ELIZABETH L VAN DERSCHELDEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004270

License Status

NOT RENEWED

Business

First Name

ELIZABETH L

Last Name

VAN DERSCHELDEN

Business Name

ELIZABETH L VAN DERSCHELDEN

Original Issue Date

07/30/1980

Effective Date

07/30/1980

Expiration Date

09/30/1998

City

SUMNER

State

Zip

98390

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/12/2005