KAREN LYNN ANTOLAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003138

License Status

NOT RENEWED

Business

First Name

KAREN LYNN

Last Name

ANTOLAK

Business Name

KAREN LYNN ANTOLAK

Original Issue Date

06/23/1977

Effective Date

06/23/1977

Expiration Date

09/30/1984

City

ROLLA

State

Zip

65401

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005