RACHEL DIANE KOFAHL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014162

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

DIANE

Last Name

KOFAHL

Business Name

RACHEL DIANE KOFAHL

Original Issue Date

08/21/2012

Effective Date

08/21/2012

Expiration Date

09/30/2015

City

CLARENCE

State

Zip

14031

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/25/2016