KEITH A STUMMER - Dentist License in Wisconsin | # 019027259

KEITH A STUMMER

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027259

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

A

Last Name

STUMMER

Business Name

KEITH A STUMMER

Original Issue Date

12/18/2006

Effective Date

12/18/2006

Expiration Date

09/30/2009

State

WI

Ever Disciplined

N

LastModifiedDate

01/08/2010