SHELLIE GAIL KRUSEMARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009841

License Status

NOT RENEWED

Business

First Name

SHELLIE

Middle

GAIL

Last Name

KRUSEMARK

Business Name

SHELLIE GAIL KRUSEMARK

Original Issue Date

07/05/2000

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

STEWARTVILLE

State

Zip

55976

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/31/2018