KATHY S SMITH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002876

License Status

INACTIVE

Business

First Name

KATHY S

Last Name

SMITH

Business Name

KATHY S SMITH

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1990

City

BEAVER DAM

State

Zip

53916

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005