CAROLYN A KELLY KOSHUTE - Dentist License in Pennsylvania | # 020004407

CAROLYN A KELLY KOSHUTE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004407

License Status

NOT RENEWED

Business

N

First Name

CAROLYN A KELLY

Last Name

KOSHUTE

Business Name

CAROLYN A KELLY KOSHUTE

Original Issue Date

12/01/1980

Effective Date

12/01/1980

Expiration Date

09/30/1992

State

PA

Ever Disciplined

N

LastModifiedDate

10/12/2005