CATHY KAY MICKOW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003004

License Status

NOT RENEWED

Business

First Name

CATHY KAY

Last Name

MICKOW

Business Name

CATHY KAY MICKOW

Original Issue Date

09/20/1976

Effective Date

09/20/1976

Expiration Date

09/30/1984

City

MIDDLETON

State

Zip

53562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005