AMY AUDRA KOZLOWSKI - Dentist License in Indiana | # 020013358

AMY AUDRA KOZLOWSKI

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013358

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

AUDRA

Last Name

KOZLOWSKI

Business Name

AMY AUDRA KOZLOWSKI

Original Issue Date

07/23/2010

Effective Date

07/23/2010

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2012