MARILYN FAYTH ELOWSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000984

License Status

NOT RENEWED

Business

First Name

MARILYN FAYTH

Last Name

ELOWSON

Business Name

MARILYN FAYTH ELOWSON

Original Issue Date

12/07/1964

Effective Date

12/07/1964

Expiration Date

09/30/1984

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005