BONNIE M GUSTAFSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005077

License Status

INACTIVE

Business

First Name

BONNIE M

Last Name

GUSTAFSON

Business Name

BONNIE M GUSTAFSON

Original Issue Date

10/21/1982

Effective Date

10/21/1982

Expiration Date

09/30/1994

City

CANBY

State

Zip

56220

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/12/2005