ELAINE ANNE FONKEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001884

License Status

NOT RENEWED

Business

First Name

ELAINE ANNE

Last Name

FONKEN

Business Name

ELAINE ANNE FONKEN

Original Issue Date

01/05/1973

Effective Date

01/05/1973

Expiration Date

09/30/1984

City

ADEL

State

Zip

50003

County

IOWA

Ever Disciplined

LastModifiedDate

10/12/2005