ANGELA C KOZAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012927

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

KOZAK

Business Name

ANGELA C KOZAK

Original Issue Date

06/25/2009

Effective Date

08/27/2012

Expiration Date

09/30/2015

City

PORTLAND

State

Zip

97206

Ever Disciplined

LastModifiedDate

04/25/2016