DANIELLE N BARSTAD DDS - Dentist License in Wisconsin | # 31*****81

DANIELLE N BARSTAD DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

N

First Name

DANIELLE

Middle

N

Last Name

BARSTAD

Suffix

DDS

Business Name

DANIELLE N BARSTAD DDS

Original Issue Date

10/08/2008

Effective Date

06/19/2024

Expiration Date

09/30/2027

State

WI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

06/19/2024