DEBORAH ANN KOLAZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001517

License Status

NOT RENEWED

Business

First Name

DEBORAH ANN

Last Name

KOLAZ

Business Name

DEBORAH ANN KOLAZ

Original Issue Date

07/08/1971

Effective Date

09/05/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/25/2016