KATHY R KULAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009393

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

KULAK

Business Name

KATHY R KULAK

Original Issue Date

12/01/1998

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

LAKE CHARLES

State

Zip

70611

County

KANE

Ever Disciplined

LastModifiedDate

07/20/2007