JENNIFER LYNN KOWALCZIK - Dentist License in Illinois | # 020010783

JENNIFER LYNN KOWALCZIK

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010783

License Status

INACTIVE

Business

N

First Name

JENNIFER

Middle

LYNN

Last Name

KOWALCZIK

Business Name

JENNIFER LYNN KOWALCZIK

Original Issue Date

08/29/2003

Effective Date

08/29/2003

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005