JACQUELINE COLUZZI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004539

License Status

INACTIVE

Business

First Name

JACQUELINE

Last Name

COLUZZI

Business Name

JACQUELINE COLUZZI

Original Issue Date

06/30/1981

Effective Date

09/08/2009

Expiration Date

09/30/2012

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/06/2012