License holder summary

Nancy Sue Miciak is a Dental - Dental Hygienist licensed to practice in Colorado. The address on file for Nancy Sue Miciak is 13220 BLACKHAWK TRAIL, JACKSONVILLE, FL, 32225-2225. This licensed professional license is not current. The license was granted 06/27/1978 and expired on 02/29/2000.

Colorado

Division of Professions and Occupations

Nancy Sue Miciak
Dental - Dental Hygienist
License number
200959
Date granted
06/27/1978
Date expires
02/29/2000
Class
Dental - Dental Hygienist
Status
Expired
Address
13220 BLACKHAWK TRAIL, JACKSONVILLE, FL, 32225-2225
coloradolicensing.org
ID 27263205
LAST UPDATED 2024-03-19 10:28:49 UTC

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