CONSTANCE ELLEN BAUM - Dentist License in Wisconsin | # 020003632

CONSTANCE ELLEN BAUM

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003632

License Status

NOT RENEWED

Business

N

First Name

CONSTANCE ELLEN

Last Name

BAUM

Business Name

CONSTANCE ELLEN BAUM

Original Issue Date

07/21/1978

Effective Date

07/21/1978

Expiration Date

09/30/1996

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005