JENNIFER MILLER PORACKY - Dentist License in Indiana | # 020004421

JENNIFER MILLER PORACKY

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004421

License Status

INACTIVE

Business

N

First Name

JENNIFER MILLER

Last Name

PORACKY

Business Name

JENNIFER MILLER PORACKY

Original Issue Date

01/20/1981

Effective Date

01/20/1981

Expiration Date

09/30/1990

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005