MARY STACKNIK DURHAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003959

License Status

NOT RENEWED

Business

First Name

MARY STACKNIK

Last Name

DURHAM

Business Name

MARY STACKNIK DURHAM

Original Issue Date

08/03/1979

Effective Date

08/03/1979

Expiration Date

09/30/1994

City

CHARLOTTE

State

Zip

28270

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/12/2005