MICHELE ELAINE MYSLIWIEC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009911

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

ELAINE

Last Name

MYSLIWIEC

Business Name

MICHELE ELAINE MYSLIWIEC

Original Issue Date

09/15/2000

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

11/04/2009