JOSEPH M LENZ - Dentist License in Wisconsin | # 31*****64

JOSEPH M LENZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

M

Last Name

LENZ

Business Name

JOSEPH M LENZ

Original Issue Date

04/13/2015

Effective Date

04/13/2015

Expiration Date

09/30/2015

State

WI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/08/2016