DONNA LYNN KLOTZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001514

License Status

NOT RENEWED

Business

First Name

DONNA LYNN

Last Name

KLOTZ

Business Name

DONNA LYNN KLOTZ

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/1984

City

ANDOVER

State

Zip

01810

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/12/2005