M KRISTIN NIEMCZYK DDS - Dentist License in Georgia | # 31*****46

M KRISTIN NIEMCZYK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

N

First Name

M KRISTIN

Last Name

NIEMCZYK

Suffix

DDS

Business Name

M KRISTIN NIEMCZYK DDS

Original Issue Date

08/31/1989

Effective Date

08/31/1989

Expiration Date

09/30/1992

State

GA

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/13/2005