KATELYN KRISTINE MODJESKI DDS - Dentist License in Wisconsin | # 019029096

KATELYN KRISTINE MODJESKI DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029096

License Status

NOT RENEWED

Business

N

First Name

KATELYN

Middle

KRISTINE

Last Name

MODJESKI

Suffix

DDS

Business Name

KATELYN KRISTINE MODJESKI DDS

Original Issue Date

06/27/2012

Effective Date

08/04/2015

Expiration Date

09/30/2018

State

WI

Ever Disciplined

N

LastModifiedDate

10/31/2018