KATELYN KRISTINE MODJESKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029096

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

KRISTINE

Last Name

MODJESKI

Suffix

DDS

Business Name

KATELYN KRISTINE MODJESKI DDS

Original Issue Date

06/27/2012

Effective Date

08/04/2015

Expiration Date

09/30/2018

City

FITCHBURG

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018