LAURA R KOSMALSKI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005432

License Status

INACTIVE

Business

First Name

LAURA

Middle

Last Name

KOSMALSKI

Business Name

LAURA R KOSMALSKI

Original Issue Date

11/17/1983

Effective Date

09/25/2009

Expiration Date

09/30/2012

City

COLLIERVILLE

State

Zip

38017

County

SHELBY

Ever Disciplined

LastModifiedDate

06/06/2012