GLADYS ELAINE NOVAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001086

License Status

NOT RENEWED

Business

First Name

GLADYS ELAINE

Last Name

NOVAK

Business Name

GLADYS ELAINE NOVAK

Original Issue Date

12/19/1968

Effective Date

12/19/1968

City

MIDDLETOWN

State

Zip

53562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005