MARY ANN SEVERSON - Dentist License in Wisconsin | # 020001610

MARY ANN SEVERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001610

License Status

NOT RENEWED

Business

N

First Name

MARY ANN

Last Name

SEVERSON

Business Name

MARY ANN SEVERSON

Original Issue Date

07/23/1971

Effective Date

07/23/1971

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005