KATHY DARLENE MICUCCI - Dentist License in Virginia | # 020009982

KATHY DARLENE MICUCCI

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009982

License Status

NOT RENEWED

Business

N

First Name

KATHY

Middle

DARLENE

Last Name

MICUCCI

Business Name

KATHY DARLENE MICUCCI

Original Issue Date

05/11/2001

Effective Date

05/11/2001

Expiration Date

09/30/2004

State

VA

Ever Disciplined

N

LastModifiedDate

10/17/2005