JACLYN SUZANNE KOSTELAC Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030983

License Status

ACTIVE

Business

First Name

JACLYN

Middle

SUZANNE

Last Name

KOSTELAC

Business Name

JACLYN SUZANNE KOSTELAC

Original Issue Date

10/20/2016

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/07/2024