ANNETTE M KUGELMANN Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001629

License Status

EXPIRED

Business

First Name

ANNETTE

Middle

Last Name

KUGELMANN

Business Name

ANNETTE M KUGELMANN

Original Issue Date

06/01/2007

Effective Date

06/01/2007

Expiration Date

06/30/2009

City

GLENDALE

State

Zip

53217

County

WISCONSIN

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

07/15/2009