GAIL SUSAN ILNICKI - Dentist License in Wisconsin | # 020002946

GAIL SUSAN ILNICKI

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002946

License Status

NOT RENEWED

Business

N

First Name

GAIL SUSAN

Last Name

ILNICKI

Business Name

GAIL SUSAN ILNICKI

Original Issue Date

08/10/1976

Effective Date

08/10/1976

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005