CHRISTABELLE EUGENIA BRAAKSMA - Dentist License in Wisconsin | # 019029549

CHRISTABELLE EUGENIA BRAAKSMA

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029549

License Status

NOT RENEWED

Business

N

First Name

CHRISTABELLE

Middle

EUGENIA

Last Name

BRAAKSMA

Business Name

CHRISTABELLE EUGENIA BRAAKSMA

Original Issue Date

07/16/2013

Effective Date

07/16/2013

Expiration Date

09/30/2015

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2016