GLORIA JEAN ECKSTROM - Dentist License in Wisconsin | # 020001423

GLORIA JEAN ECKSTROM

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001423

License Status

NOT RENEWED

Business

N

First Name

GLORIA JEAN

Last Name

ECKSTROM

Business Name

GLORIA JEAN ECKSTROM

Original Issue Date

02/04/1971

Effective Date

02/04/1971

Expiration Date

09/30/1984

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005