DERRONG SUN - Dentist License in Wisconsin | # 020008898

DERRONG SUN

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008898

License Status

INACTIVE

Business

N

First Name

DERRONG

Last Name

SUN

Business Name

DERRONG SUN

Original Issue Date

12/16/1996

Effective Date

12/16/1996

Expiration Date

09/30/1998

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005