SAMTHA BROTHERTON - Dentist License in Wisconsin | # 019025783

SAMTHA BROTHERTON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025783

License Status

NOT RENEWED

Business

N

First Name

SAMTHA

Last Name

BROTHERTON

Business Name

SAMTHA BROTHERTON

Original Issue Date

03/11/2002

Effective Date

03/11/2002

Expiration Date

09/30/2002

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005