MELISA KAY WENTZ Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009211

License Status

INACTIVE

Business

First Name

MELISA

Middle

KAY

Last Name

WENTZ

Business Name

MELISA KAY WENTZ

Original Issue Date

07/17/1998

Effective Date

09/28/2015

Expiration Date

09/30/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/07/2018