KIMBERLY MASTALERZ Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013213

License Status

INACTIVE

Business

First Name

KIMBERLY

Last Name

MASTALERZ

Business Name

KIMBERLY MASTALERZ

Original Issue Date

06/23/2010

Effective Date

08/13/2012

Expiration Date

09/30/2015

City

CHARLESTON

State

Zip

29403

Ever Disciplined

LastModifiedDate

06/08/2015