KATHY DARLENE MICUCCI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009982

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

DARLENE

Last Name

MICUCCI

Business Name

KATHY DARLENE MICUCCI

Original Issue Date

05/11/2001

Effective Date

05/11/2001

Expiration Date

09/30/2004

City

STAFFORD

State

Zip

22554

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/17/2005