GLORIA JEAN ECKSTROM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001423

License Status

NOT RENEWED

Business

First Name

GLORIA JEAN

Last Name

ECKSTROM

Business Name

GLORIA JEAN ECKSTROM

Original Issue Date

02/04/1971

Effective Date

02/04/1971

Expiration Date

09/30/1984

City

THERESA

State

Zip

53091

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005