LISA J H BLOXDORF - Dentist License in Wisconsin | # 020004171

LISA J H BLOXDORF

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004171

License Status

NOT RENEWED

Business

N

First Name

LISA J H

Last Name

BLOXDORF

Business Name

LISA J H BLOXDORF

Original Issue Date

07/15/1980

Effective Date

04/30/2020

Expiration Date

01/31/2022

State

WI

Ever Disciplined

N

LastModifiedDate

05/09/2022