BONNIE S PAVLICEK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006086

License Status

INACTIVE

Business

First Name

BONNIE S

Last Name

PAVLICEK

Business Name

BONNIE S PAVLICEK

Original Issue Date

07/15/1986

Effective Date

07/15/1986

Expiration Date

09/30/1996

City

PHOENIX

State

Zip

85027

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005