DIANNE MARIE SMITH - Dentist License in Wisconsin | # 020002996

DIANNE MARIE SMITH

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002996

License Status

NOT RENEWED

Business

N

First Name

DIANNE MARIE

Last Name

SMITH

Business Name

DIANNE MARIE SMITH

Original Issue Date

09/15/1976

Effective Date

09/15/1976

Expiration Date

09/30/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005