AMBER NICOLE ESPADA - Dentist License in Wisconsin | # 020012536

AMBER NICOLE ESPADA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012536

License Status

NOT RENEWED

Business

N

First Name

AMBER

Middle

NICOLE

Last Name

ESPADA

Business Name

AMBER NICOLE ESPADA

Original Issue Date

06/26/2008

Effective Date

10/01/2009

Expiration Date

09/30/2012

State

WI

Ever Disciplined

N

LastModifiedDate

11/14/2012