SANDRA SEBASTIAN WIRKOWSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013143

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

SEBASTIAN

Last Name

WIRKOWSKI

Business Name

SANDRA SEBASTIAN WIRKOWSKI

Original Issue Date

03/23/2010

Effective Date

06/15/2015

Expiration Date

09/30/2018

City

SAINT JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

10/31/2018