KRISTI LEIGH SANDUSKY - Dentist License in Wisconsin | # 020010884

KRISTI LEIGH SANDUSKY

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010884

License Status

INACTIVE

Business

N

First Name

KRISTI

Middle

LEIGH

Last Name

SANDUSKY

Business Name

KRISTI LEIGH SANDUSKY

Original Issue Date

03/10/2004

Effective Date

08/27/2009

Expiration Date

09/30/2012

State

WI

Ever Disciplined

N

LastModifiedDate

06/06/2012