DIANE REUPERT - Dentist License in Wisconsin | # 020001588

DIANE REUPERT

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001588

License Status

NOT RENEWED

Business

N

First Name

DIANE

Last Name

REUPERT

Business Name

DIANE REUPERT

Original Issue Date

07/08/1971

Effective Date

07/08/1971

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005