CHERYL MARIE PETTKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002555

License Status

NOT RENEWED

Business

First Name

CHERYL MARIE

Last Name

PETTKE

Business Name

CHERYL MARIE PETTKE

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1992

City

SUSSEX

State

Zip

53089

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005