JILL M KACZANOWSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011586

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

KACZANOWSKI

Business Name

JILL M KACZANOWSKI

Original Issue Date

02/17/2006

Effective Date

09/01/2015

Expiration Date

09/30/2018

City

WASHINGTON TOWNSHIP

State

Zip

48094

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/31/2018