MICHELLE RENEE WILDES - Dentist License in Wisconsin | # 020011581

MICHELLE RENEE WILDES

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011581

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

RENEE

Last Name

WILDES

Business Name

MICHELLE RENEE WILDES

Original Issue Date

02/07/2006

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

WI

Ever Disciplined

N

LastModifiedDate

11/04/2009