JENNIFER MILLER PORACKY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004421

License Status

INACTIVE

Business

First Name

JENNIFER MILLER

Last Name

PORACKY

Business Name

JENNIFER MILLER PORACKY

Original Issue Date

01/20/1981

Effective Date

01/20/1981

Expiration Date

09/30/1990

City

OGDEN DUNES

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005