ELAINE ANNE FONKEN - Dentist License in Iowa | # 020001884

ELAINE ANNE FONKEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001884

License Status

NOT RENEWED

Business

N

First Name

ELAINE ANNE

Last Name

FONKEN

Business Name

ELAINE ANNE FONKEN

Original Issue Date

01/05/1973

Effective Date

01/05/1973

Expiration Date

09/30/1984

State

IA

Ever Disciplined

N

LastModifiedDate

10/12/2005