LUCIANA ALICE MIRANDA VAN WESTEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030622

License Status

NOT RENEWED

Business

Title

DDS

First Name

LUCIANA ALICE

Middle

MIRANDA

Last Name

VAN WESTEN

Business Name

LUCIANA ALICE MIRANDA VAN WESTEN DDS

Original Issue Date

05/24/2016

Effective Date

05/24/2016

Expiration Date

09/30/2018

City

MILWAUKEE

State

Zip

53212

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018