SANDRA T BURKART Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001106

License Status

NOT RENEWED

Business

First Name

SANDRA T

Last Name

BURKART

Business Name

SANDRA T BURKART

Original Issue Date

07/14/1969

Effective Date

07/14/1969

City

PLYMOUTH

State

Zip

53073

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005