CORTNEY DIANE OGRZEWALLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013434

License Status

NOT RENEWED

Business

First Name

CORTNEY

Middle

DIANE

Last Name

OGRZEWALLA

Business Name

CORTNEY DIANE OGRZEWALLA

Original Issue Date

10/21/2010

Effective Date

06/19/2012

Expiration Date

09/30/2015

City

WESTFIELD

State

Zip

46074

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016