SOPHIA ELIZABETH ALTENBURG DDS - Dentist License in Wisconsin | # 31*****85

SOPHIA ELIZABETH ALTENBURG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

SOPHIA

Middle

ELIZABETH

Last Name

ALTENBURG

Business Name

SOPHIA ELIZABETH ALTENBURG DDS

Original Issue Date

08/11/2023

Effective Date

08/11/2023

Expiration Date

09/30/2024

State

WI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/04/2025