MICHELLE L EKERN - Dentist License in Wisconsin | # 020010790

MICHELLE L EKERN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010790

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

L

Last Name

EKERN

Business Name

MICHELLE L EKERN

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

09/30/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005