DOROTHY DEMITRA POULOS - Dentist License in Wisconsin | # 020010611

DOROTHY DEMITRA POULOS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010611

License Status

NOT RENEWED

Business

N

First Name

DOROTHY

Middle

DEMITRA

Last Name

POULOS

Business Name

DOROTHY DEMITRA POULOS

Original Issue Date

06/17/2003

Effective Date

09/06/2018

Expiration Date

01/31/2022

State

WI

Ever Disciplined

N

LastModifiedDate

05/09/2022