DAWN ELISE MARCINIAK - Dentist License in Indiana | # 020011068

DAWN ELISE MARCINIAK

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011068

License Status

INACTIVE

Business

N

First Name

DAWN

Middle

ELISE

Last Name

MARCINIAK

Business Name

DAWN ELISE MARCINIAK

Original Issue Date

07/06/2004

Effective Date

08/18/2015

Expiration Date

09/30/2018

State

IN

Ever Disciplined

N

LastModifiedDate

06/07/2018