KELLI LYNETTE KOSOBUD - Dentist License in Indiana | # 020005463

KELLI LYNETTE KOSOBUD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005463

License Status

NOT RENEWED

Business

N

First Name

KELLI LYNETTE

Last Name

KOSOBUD

Business Name

KELLI LYNETTE KOSOBUD

Original Issue Date

03/20/1984

Effective Date

03/20/1984

Expiration Date

09/30/1994

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005