JUDITH KMIECIAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003207

License Status

NOT RENEWED

Business

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

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/09/2022