RACHEL DIANE KOFAHL - Dentist License in New York | # 020014162

RACHEL DIANE KOFAHL

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014162

License Status

NOT RENEWED

Business

N

First Name

RACHEL

Middle

DIANE

Last Name

KOFAHL

Business Name

RACHEL DIANE KOFAHL

Original Issue Date

08/21/2012

Effective Date

08/21/2012

Expiration Date

09/30/2015

State

NY

Ever Disciplined

N

LastModifiedDate

04/25/2016