DONNA LEE DONNELLY - Dentist License in Wisconsin | # 020002676

DONNA LEE DONNELLY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002676

License Status

NOT RENEWED

Business

N

First Name

DONNA LEE

Last Name

DONNELLY

Business Name

DONNA LEE DONNELLY

Original Issue Date

08/11/1975

Effective Date

08/11/1975

Expiration Date

09/30/1984

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005