LAURIE KAY TERHARK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002916

License Status

INACTIVE

Business

First Name

LAURIE KAY

Last Name

TERHARK

Business Name

LAURIE KAY TERHARK

Original Issue Date

07/13/1976

Effective Date

09/17/2012

Expiration Date

09/30/2015

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/08/2015