CATHY KAY MICKOW - Dentist License in Wisconsin | # 020003004

CATHY KAY MICKOW

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003004

License Status

NOT RENEWED

Business

N

First Name

CATHY KAY

Last Name

MICKOW

Business Name

CATHY KAY MICKOW

Original Issue Date

09/20/1976

Effective Date

09/20/1976

Expiration Date

09/30/1984

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005