AUDREY MARIE URBANCZYK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005914

License Status

INACTIVE

Business

First Name

AUDREY MARIE

Last Name

URBANCZYK

Business Name

AUDREY MARIE URBANCZYK

Original Issue Date

07/29/1985

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

07/24/2006