MICHELLE THERESE SMID - Dentist License in Wisconsin | # 020007665

MICHELLE THERESE SMID

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007665

License Status

INACTIVE

Business

N

First Name

MICHELLE THERESE

Last Name

SMID

Business Name

MICHELLE THERESE SMID

Original Issue Date

07/06/1992

Effective Date

07/06/1992

Expiration Date

09/30/1996

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005