MARY JANE STACH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003839

License Status

NOT RENEWED

Business

First Name

MARY

Middle

JANE

Last Name

STACH

Business Name

MARY JANE STACH

Original Issue Date

06/29/1979

Effective Date

12/29/2021

Expiration Date

09/30/2024

City

CAMPBELLSVILLE

State

Zip

42718

Ever Disciplined

LastModifiedDate

02/04/2025