KATIE MARIE SENKIW DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

Title

DMD

First Name

KATIE

Middle

MARIE

Last Name

SENKIW

Business Name

KATIE MARIE SENKIW DMD

Original Issue Date

08/31/2015

Effective Date

08/31/2015

Expiration Date

09/30/2018

City

AUGUSTA

State

Zip

30909

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018