DEBORAH L PACKARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002806

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

PACKARD

Business Name

DEBORAH L PACKARD

Original Issue Date

07/13/1976

Effective Date

06/19/2012

Expiration Date

09/30/2015

City

WHITEFISH BAY

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016