TAMALA JEAN PETERSON - Dentist License in Wisconsin | # 020004470

TAMALA JEAN PETERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004470

License Status

NOT RENEWED

Business

N

First Name

TAMALA JEAN

Last Name

PETERSON

Business Name

TAMALA JEAN PETERSON

Original Issue Date

06/15/1981

Effective Date

08/20/2018

Expiration Date

01/31/2022

State

WI

Ever Disciplined

N

LastModifiedDate

05/09/2022