JENNIFER ELLEN NIEMZYK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033143

License Status

NOT RENEWED

Business

Title

DDS

First Name

JENNIFER

Middle

ELLEN

Last Name

NIEMZYK

Business Name

JENNIFER ELLEN NIEMZYK DDS

Original Issue Date

06/07/2021

Effective Date

06/07/2021

Expiration Date

09/30/2024

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

02/04/2025