JEAN TYLKA SWIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005232

License Status

NOT RENEWED

Business

First Name

JEAN TYLKA

Last Name

SWIM

Business Name

JEAN TYLKA SWIM

Original Issue Date

07/18/1983

Effective Date

07/18/1983

Expiration Date

09/30/2000

City

FORT WAYNE

State

Zip

46845

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005