NANCY JUNE BRISACK - Dentist License in Hawaii | # 020000778

NANCY JUNE BRISACK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000778

License Status

NOT RENEWED

Business

N

First Name

NANCY JUNE

Last Name

BRISACK

Business Name

NANCY JUNE BRISACK

Original Issue Date

07/15/1965

Effective Date

07/15/1965

State

HI

Ever Disciplined

N

LastModifiedDate

10/12/2005