AMY AUDRA KOZLOWSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013358

License Status

NOT RENEWED

Business

First Name

AMY

Middle

AUDRA

Last Name

KOZLOWSKI

Business Name

AMY AUDRA KOZLOWSKI

Original Issue Date

07/23/2010

Effective Date

07/23/2010

Expiration Date

09/30/2012

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2012