STACEY LYNN HLAVATY - Dentist License in Indiana | # 020015754

STACEY LYNN HLAVATY

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015754

License Status

ACTIVE

Business

N

First Name

STACEY

Middle

LYNN

Last Name

HLAVATY

Business Name

STACEY LYNN HLAVATY

Original Issue Date

05/04/2017

Effective Date

10/01/2024

Expiration Date

09/30/2027

State

IN

Ever Disciplined

N

LastModifiedDate

02/03/2025