CHRISTABELLE EUGENIA BRAAKSMA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029549

License Status

NOT RENEWED

Business

First Name

CHRISTABELLE

Middle

EUGENIA

Last Name

BRAAKSMA

Business Name

CHRISTABELLE EUGENIA BRAAKSMA

Original Issue Date

07/16/2013

Effective Date

07/16/2013

Expiration Date

09/30/2015

City

MADISON

State

Zip

53704

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016