BENITA THEIS - Dentist License in Wisconsin | # 020005769

BENITA THEIS

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005769

License Status

INACTIVE

Business

N

First Name

BENITA

Last Name

THEIS

Business Name

BENITA THEIS

Original Issue Date

06/20/1985

Effective Date

06/20/1985

Expiration Date

09/30/1992

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005