JUDITH M NICOLAI MAMAK - Dentist License in Colorado | # 020000379

JUDITH M NICOLAI MAMAK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000379

License Status

NOT RENEWED

Business

N

First Name

JUDITH M NICOLAI

Last Name

MAMAK

Business Name

JUDITH M NICOLAI MAMAK

Original Issue Date

08/04/1958

Effective Date

08/04/1958

Expiration Date

09/30/1984

State

CO

Ever Disciplined

N

LastModifiedDate

10/12/2005