LISA K HOLST Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022439

License Status

INACTIVE

Business

First Name

LISA K

Last Name

HOLST

Business Name

LISA K HOLST

Original Issue Date

04/23/1991

Effective Date

04/23/1991

Expiration Date

09/30/1992

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005