KIMBERLY JEAN AUDETAT - Dentist License in Wisconsin | # 020012684

KIMBERLY JEAN AUDETAT

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012684

License Status

INACTIVE

Business

N

First Name

KIMBERLY

Middle

JEAN

Last Name

AUDETAT

Business Name

KIMBERLY JEAN AUDETAT

Original Issue Date

09/18/2008

Effective Date

09/26/2012

Expiration Date

09/30/2015

State

WI

Ever Disciplined

N

LastModifiedDate

06/08/2015