JUDITH KMIECIAK - Dentist License in Illinois | # 020003207

JUDITH KMIECIAK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003207

License Status

NOT RENEWED

Business

N

First Name

JUDITH

Last Name

KMIECIAK

Business Name

JUDITH KMIECIAK

Original Issue Date

07/07/1977

Effective Date

06/21/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022