JENNIFER LYNN KOWALCZIK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010783

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

LYNN

Last Name

KOWALCZIK

Business Name

JENNIFER LYNN KOWALCZIK

Original Issue Date

08/29/2003

Effective Date

08/29/2003

Expiration Date

09/30/2004

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

10/17/2005