ASHLEY R BAZARNYJ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013728

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

BAZARNYJ

Business Name

ASHLEY R BAZARNYJ

Original Issue Date

07/25/2011

Effective Date

09/01/2015

Expiration Date

09/30/2018

City

CHARLOTTE

State

Zip

28278

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/31/2018