MARY ANN SEVERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001610

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

SEVERSON

Business Name

MARY ANN SEVERSON

Original Issue Date

07/23/1971

Effective Date

07/23/1971

City

MADISON

State

Zip

33705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005