JACQUELYN MICHELLE PAWLOWICZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013105

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

MICHELLE

Last Name

PAWLOWICZ

Business Name

JACQUELYN MICHELLE PAWLOWICZ

Original Issue Date

01/22/2010

Effective Date

01/22/2010

Expiration Date

09/30/2012

City

RIVERVIEW

State

Zip

48193

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/14/2012