PATRICIA J HUDAK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003825

License Status

INACTIVE

Business

First Name

PATRICIA J

Last Name

HUDAK

Business Name

PATRICIA J HUDAK

Original Issue Date

06/29/1979

Effective Date

09/22/2009

Expiration Date

09/30/2012

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

06/06/2012