NANCY PARKHURST LEAFBLAD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001547

License Status

INACTIVE

Business

First Name

NANCY PARKHURST

Last Name

LEAFBLAD

Business Name

NANCY PARKHURST LEAFBLAD

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/1992

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005