KIMBERLY ANN BOUDREAUX - Dentist License in Wisconsin | # 020010257

KIMBERLY ANN BOUDREAUX

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010257

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

ANN

Last Name

BOUDREAUX

Business Name

KIMBERLY ANN BOUDREAUX

Original Issue Date

03/26/2002

Effective Date

12/27/2021

Expiration Date

09/30/2024

State

WI

Ever Disciplined

N

LastModifiedDate

02/04/2025