MARY ELLEN KLEMENT - Dentist License in Wisconsin | # 020004291

MARY ELLEN KLEMENT

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004291

License Status

NOT RENEWED

Business

N

First Name

MARY ELLEN

Last Name

KLEMENT

Business Name

MARY ELLEN KLEMENT

Original Issue Date

07/30/1980

Effective Date

06/21/2018

Expiration Date

01/31/2022

State

WI

Ever Disciplined

N

LastModifiedDate

05/09/2022