MARSHA A DZIADOWICZ Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005701

License Status

INACTIVE

Business

First Name

MARSHA A

Last Name

DZIADOWICZ

Business Name

MARSHA A DZIADOWICZ

Original Issue Date

10/03/1984

Effective Date

10/03/1984

Expiration Date

09/30/1996

City

WESTVILLE

State

Zip

46391

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005