MARK DEBOER DDS - Dentist License in Wisconsin | # 019010427

MARK DEBOER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010427

License Status

NOT RENEWED

Business

N

First Name

MARK

Last Name

DEBOER

Suffix

DDS

Business Name

MARK DEBOER DDS

Original Issue Date

12/11/1953

Effective Date

12/11/1953

Expiration Date

09/30/1984

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005