GEORGE WYLLIE FORRESTER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011556

License Status

INACTIVE

Business

First Name

GEORGE WYLLIE

Last Name

FORRESTER

Business Name

GEORGE WYLLIE FORRESTER

Original Issue Date

08/12/1959

Effective Date

08/12/1959

Expiration Date

09/30/1990

City

WESTBORO

State

Zip

54490

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005