DONNA MARIE CHUCHLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002842

License Status

NOT RENEWED

Business

First Name

DONNA MARIE

Last Name

CHUCHLA

Business Name

DONNA MARIE CHUCHLA

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1994

City

CASSELBERRY

State

Zip

32707

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005