MARY JANE NOVOSEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004838

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

NOVOSEL

Business Name

MARY JANE NOVOSEL

Original Issue Date

07/16/1982

Effective Date

09/08/2015

Expiration Date

09/30/2018

City

FORT WAYNE

State

Zip

46845

County

INDIANA

Ever Disciplined

LastModifiedDate

10/31/2018