KELLY S KOZLOWSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011282

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

KOZLOWSKI

Business Name

KELLY S KOZLOWSKI

Original Issue Date

05/12/2005

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

05/09/2022