MARY M WIELGUS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025479

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

WIELGUS

Suffix

DDS

Business Name

MARY M WIELGUS DDS

Original Issue Date

01/04/2001

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

GREEN BAY

State

Zip

54313

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/09/2022