MICHAEL DEROSE - Dentist License in Wisconsin | # 019004834

MICHAEL DEROSE

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019004834

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

DEROSE

Business Name

MICHAEL DEROSE

Original Issue Date

08/16/1926

Effective Date

08/16/1926

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005