DEANNA L LEGRAND-MIELKE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008505

License Status

INACTIVE

Business

First Name

DEANNA L

Last Name

LEGRAND-MIELKE

Business Name

DEANNA L LEGRAND-MIELKE

Original Issue Date

07/20/1995

Effective Date

07/20/1995

Expiration Date

09/30/2000

City

EVERGREEN

State

Zip

80439

County

COLORADO

Ever Disciplined

LastModifiedDate

10/17/2005