MICHAELA ALEXANDRA KIRSLIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011780

License Status

NOT RENEWED

Business

First Name

MICHAELA

Middle

ALEXANDRA

Last Name

KIRSLIS

Business Name

MICHAELA ALEXANDRA KIRSLIS

Original Issue Date

07/05/2006

Effective Date

07/05/2006

Expiration Date

09/30/2009

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/04/2009