KELLY ANN PUNZEL - Dentist License in Wisconsin | # 020011480

KELLY ANN PUNZEL

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011480

License Status

INACTIVE

Business

N

First Name

KELLY

Middle

ANN

Last Name

PUNZEL

Business Name

KELLY ANN PUNZEL

Original Issue Date

08/15/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

WI

Ever Disciplined

N

LastModifiedDate

07/24/2006