GARY W HAESE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022362

License Status

INACTIVE

Business

First Name

GARY W

Last Name

HAESE

Suffix

DDS

Business Name

GARY W HAESE DDS

Original Issue Date

01/29/1991

Effective Date

01/29/1991

Expiration Date

09/30/1992

City

STOUGHTON

State

Zip

53589

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005