SHELLIE GAIL KRUSEMARK - Dentist License in Minnesota | # 020009841

SHELLIE GAIL KRUSEMARK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009841

License Status

NOT RENEWED

Business

N

First Name

SHELLIE

Middle

GAIL

Last Name

KRUSEMARK

Business Name

SHELLIE GAIL KRUSEMARK

Original Issue Date

07/05/2000

Effective Date

10/01/2015

Expiration Date

09/30/2018

State

MN

Ever Disciplined

N

LastModifiedDate

10/31/2018