PATRICIA KAY LACKOVICH - Dentist License in Wisconsin | # 020005108

PATRICIA KAY LACKOVICH

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005108

License Status

NOT RENEWED

Business

N

First Name

PATRICIA KAY

Last Name

LACKOVICH

Business Name

PATRICIA KAY LACKOVICH

Original Issue Date

01/17/1983

Effective Date

01/17/1983

Expiration Date

09/30/1984

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005