CHARLENE E LEUTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001605

License Status

NOT RENEWED

Business

First Name

CHARLENE E

Last Name

LEUTH

Business Name

CHARLENE E LEUTH

Original Issue Date

07/23/1971

Effective Date

07/23/1971

City

MONONA

State

Zip

53716

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005