MARIA ANNETTE MODJESKI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003661

License Status

INACTIVE

Business

First Name

MARIA ANNETTE

Last Name

MODJESKI

Business Name

MARIA ANNETTE MODJESKI

Original Issue Date

08/21/1978

Effective Date

09/18/2009

Expiration Date

09/30/2012

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

06/06/2012