RODERICK L NYSTUL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009430

License Status

INACTIVE

Business

First Name

RODERICK L

Last Name

NYSTUL

Suffix

DDS

Business Name

RODERICK L NYSTUL DDS

Original Issue Date

03/02/1948

Effective Date

03/02/1948

Expiration Date

09/30/1990

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005