JOAN JEAN WALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005868

License Status

NOT RENEWED

Business

First Name

JOAN JEAN

Last Name

WALL

Business Name

JOAN JEAN WALL

Original Issue Date

07/19/1985

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

MORO

State

Zip

62067

County

MADISON

Ever Disciplined

LastModifiedDate

05/09/2022