KELLI LYNETTE KOSOBUD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005463

License Status

NOT RENEWED

Business

First Name

KELLI LYNETTE

Last Name

KOSOBUD

Business Name

KELLI LYNETTE KOSOBUD

Original Issue Date

03/20/1984

Effective Date

03/20/1984

Expiration Date

09/30/1994

City

INDIANAPOLIS

State

Zip

46231

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005