ERICH HERBST Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018060

License Status

NOT RENEWED

Business

First Name

ERICH

Last Name

HERBST

Business Name

ERICH HERBST

Original Issue Date

07/16/1982

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

BARABOO

State

Zip

53913

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/09/2022