ROBERTA E WISUN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021086

License Status

NOT RENEWED

Business

First Name

ROBERTA E

Last Name

WISUN

Business Name

ROBERTA E WISUN

Original Issue Date

05/24/1988

Effective Date

09/17/2021

Expiration Date

09/30/2024

City

SAINT AUGUSTINE

State

Zip

32084

Ever Disciplined

LastModifiedDate

02/04/2025