DONNA LEE DONNELLY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002676

License Status

NOT RENEWED

Business

First Name

DONNA LEE

Last Name

DONNELLY

Business Name

DONNA LEE DONNELLY

Original Issue Date

08/11/1975

Effective Date

08/11/1975

Expiration Date

09/30/1984

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005