L DIANE KIRK - Dentist License in Wisconsin | # 020001740

L DIANE KIRK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001740

License Status

NOT RENEWED

Business

N

First Name

L DIANE

Last Name

KIRK

Business Name

L DIANE KIRK

Original Issue Date

07/13/1972

Effective Date

07/13/1972

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005