MARLENA A OSTAFIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013210

License Status

NOT RENEWED

Business

First Name

MARLENA

Middle

Last Name

OSTAFIN

Business Name

MARLENA A OSTAFIN

Original Issue Date

06/23/2010

Effective Date

10/02/2018

Expiration Date

01/31/2022

City

FAIRVIEW

State

Zip

37062

County

TENNESSEE

Ever Disciplined

LastModifiedDate

05/09/2022