BRIDGET ELLEN KLOCKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003188

License Status

NOT RENEWED

Business

First Name

BRIDGET ELLEN

Last Name

KLOCKE

Business Name

BRIDGET ELLEN KLOCKE

Original Issue Date

07/01/1977

Effective Date

07/01/1977

City

COLORADO SPRINGS

State

Zip

80907

County

COLORADO

Ever Disciplined

LastModifiedDate

10/12/2005