MARIAN ELIZABETH LUTZOW Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003559

License Status

INACTIVE

Business

First Name

MARIAN ELIZABETH

Last Name

LUTZOW

Business Name

MARIAN ELIZABETH LUTZOW

Original Issue Date

06/27/1978

Effective Date

06/27/1978

Expiration Date

09/30/1992

City

NEW BERLIN

State

Zip

53146

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005