JAN LYNN SMOK PATRICK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005823

License Status

NOT RENEWED

Business

First Name

JAN LYNN SMOK

Last Name

PATRICK

Business Name

JAN LYNN SMOK PATRICK

Original Issue Date

07/19/1985

Effective Date

07/19/1985

Expiration Date

09/30/1990

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005