MARIA ANNETTE MODJESKI - Dentist License in Indiana | # 020003661

MARIA ANNETTE MODJESKI

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003661

License Status

INACTIVE

Business

N

First Name

MARIA ANNETTE

Last Name

MODJESKI

Business Name

MARIA ANNETTE MODJESKI

Original Issue Date

08/21/1978

Effective Date

09/18/2009

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

06/06/2012