AUDREY CHILD KONICEK - Dentist License in Massachusetts | # 020000281

AUDREY CHILD KONICEK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000281

License Status

NOT RENEWED

Business

N

First Name

AUDREY CHILD

Last Name

KONICEK

Business Name

AUDREY CHILD KONICEK

Original Issue Date

01/01/1998

State

MA

Ever Disciplined

N

LastModifiedDate

10/12/2005