DANIELLA MANCICH - Dentist License in Indiana | # 020014973

DANIELLA MANCICH

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014973

License Status

NOT RENEWED

Business

N

First Name

DANIELLA

Last Name

MANCICH

Business Name

DANIELLA MANCICH

Original Issue Date

11/03/2014

Effective Date

11/03/2014

Expiration Date

09/30/2015

State

IN

Ever Disciplined

N

LastModifiedDate

04/25/2016