CATHERINE P MODJESKI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022935

License Status

INACTIVE

Business

First Name

CATHERINE P

Last Name

MODJESKI

Business Name

CATHERINE P MODJESKI

Original Issue Date

08/05/1992

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ATLANTIC BEACH

State

Zip

32233

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/24/2006