MICHELLE DISTEFANO - Dentist License in Wisconsin | # 019028168

MICHELLE DISTEFANO

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028168

License Status

ACTIVE

Business

N

First Name

MICHELLE

Last Name

DISTEFANO

Business Name

MICHELLE DISTEFANO

Original Issue Date

11/23/2009

Effective Date

08/13/2024

Expiration Date

09/30/2027

State

WI

Ever Disciplined

N

LastModifiedDate

08/13/2024