SANDRA JO BUTZKE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003423

License Status

INACTIVE

Business

First Name

SANDRA JO

Last Name

BUTZKE

Business Name

SANDRA JO BUTZKE

Original Issue Date

02/09/1978

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

SAN DIEGO

State

Zip

92117

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

06/06/2012