LILLIAN SELAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004201

License Status

ACTIVE

Business

First Name

LILLIAN

Last Name

SELAK

Business Name

LILLIAN SELAK

Original Issue Date

07/15/1980

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

ST AUGUSTINE

State

Zip

32086

Ever Disciplined

LastModifiedDate

09/06/2024