CAROL A ERLANDSO KOPPERUD - Dentist License in Wisconsin | # 020003307

CAROL A ERLANDSO KOPPERUD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003307

License Status

NOT RENEWED

Business

N

First Name

CAROL A ERLANDSO

Last Name

KOPPERUD

Business Name

CAROL A ERLANDSO KOPPERUD

Original Issue Date

08/15/1977

Effective Date

08/15/1977

Expiration Date

09/30/1994

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005