GAIL SUSAN ILNICKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002946

License Status

NOT RENEWED

Business

First Name

GAIL SUSAN

Last Name

ILNICKI

Business Name

GAIL SUSAN ILNICKI

Original Issue Date

08/10/1976

Effective Date

08/10/1976

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005