KATHY P BREITOWICH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

KATHY P

Last Name

BREITOWICH

Suffix

DDS

Business Name

KATHY P BREITOWICH DDS

Original Issue Date

05/06/1993

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

LA PORTE

State

Zip

46350

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024