THOMAS FREDERICK HENKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015448

License Status

NOT RENEWED

Business

First Name

THOMAS FREDERICK

Last Name

HENKE

Business Name

THOMAS FREDERICK HENKE

Original Issue Date

04/30/1976

Effective Date

10/02/2018

Expiration Date

01/31/2022

City

SHAWANO

State

Zip

54166

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/09/2022