BROOKE ASHLEY TALLEUR - Dentist License in Wisconsin | # 020013129

BROOKE ASHLEY TALLEUR

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013129

License Status

NOT RENEWED

Business

N

First Name

BROOKE

Middle

ASHLEY

Last Name

TALLEUR

Business Name

BROOKE ASHLEY TALLEUR

Original Issue Date

03/05/2010

Effective Date

10/01/2012

Expiration Date

09/30/2015

State

WI

Ever Disciplined

N

LastModifiedDate

04/25/2016