JAN LYNN SMOK PATRICK - Dentist License in Indiana | # 020005823

JAN LYNN SMOK PATRICK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005823

License Status

NOT RENEWED

Business

N

First Name

JAN LYNN SMOK

Last Name

PATRICK

Business Name

JAN LYNN SMOK PATRICK

Original Issue Date

07/19/1985

Effective Date

07/19/1985

Expiration Date

09/30/1990

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005