Maria Annette Modjeski
InactiveIllinois license 020003661
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003661
- Status
- Inactive
- First issued
- August 21, 1978
- Expired
- September 30, 2012
- License holder
- Maria Annette Modjeski
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/18/2009
Contact
Schererville, IN 46375
Indiana County