Dawn Elise Marciniak
InactiveIllinois license 020011068
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020011068
- Status
- Inactive
- First issued
- July 6, 2004
- Expired
- September 30, 2018
- License holder
- Dawn Elise Marciniak
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/18/2015
Contact
Lake Station, IN 46405