ROBERTA M KERRICK - Dentist License in Wisconsin | # 020005128

ROBERTA M KERRICK

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005128

License Status

INACTIVE

Business

N

First Name

ROBERTA M

Last Name

KERRICK

Business Name

ROBERTA M KERRICK

Original Issue Date

03/11/1983

Effective Date

03/11/1983

Expiration Date

09/30/1992

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005