TARA MARIE BUDA - Dentist License in Wisconsin | # 020010792

TARA MARIE BUDA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010792

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

MARIE

Last Name

BUDA

Business Name

TARA MARIE BUDA

Original Issue Date

09/15/2003

Effective Date

09/28/2015

Expiration Date

09/30/2018

State

WI

Ever Disciplined

N

LastModifiedDate

10/31/2018