STACEY LYNN HLAVATY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015754

License Status

ACTIVE

Business

First Name

STACEY

Middle

LYNN

Last Name

HLAVATY

Business Name

STACEY LYNN HLAVATY

Original Issue Date

05/04/2017

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

02/03/2025