LAURIE KAY TERHARK - Dentist License in Wisconsin | # 020002916

LAURIE KAY TERHARK

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002916

License Status

INACTIVE

Business

N

First Name

LAURIE KAY

Last Name

TERHARK

Business Name

LAURIE KAY TERHARK

Original Issue Date

07/13/1976

Effective Date

09/17/2012

Expiration Date

09/30/2015

State

WI

Ever Disciplined

N

LastModifiedDate

06/08/2015