TERESA A WOJTAK - Dentist License in Wisconsin | # 020013822

TERESA A WOJTAK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013822

License Status

NOT RENEWED

Business

N

First Name

TERESA

Middle

A

Last Name

WOJTAK

Business Name

TERESA A WOJTAK

Original Issue Date

11/10/2011

Effective Date

11/10/2011

Expiration Date

09/30/2012

State

WI

Ever Disciplined

N

LastModifiedDate

11/14/2012