DAWN ELISE MARCINIAK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011068

License Status

INACTIVE

Business

First Name

DAWN

Middle

ELISE

Last Name

MARCINIAK

Business Name

DAWN ELISE MARCINIAK

Original Issue Date

07/06/2004

Effective Date

08/18/2015

Expiration Date

09/30/2018

City

LAKE STATION

State

Zip

46405

Ever Disciplined

LastModifiedDate

06/07/2018