MICHELLE DISTEFANO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028168

License Status

ACTIVE

Business

First Name

MICHELLE

Last Name

DISTEFANO

Business Name

MICHELLE DISTEFANO

Original Issue Date

11/23/2009

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

08/13/2024