MARY JEAN KOTLEBA - Dentist License in Washington | # 020003897

MARY JEAN KOTLEBA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003897

License Status

NOT RENEWED

Business

N

First Name

MARY JEAN

Last Name

KOTLEBA

Business Name

MARY JEAN KOTLEBA

Original Issue Date

07/10/1979

Effective Date

07/10/1979

Expiration Date

09/30/1988

State

WA

Ever Disciplined

N

LastModifiedDate

10/12/2005