LAUREL A HOLSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003648

License Status

NOT RENEWED

Business

First Name

LAUREL A

Last Name

HOLSEN

Business Name

LAUREL A HOLSEN

Original Issue Date

08/14/1978

Effective Date

08/14/1978

City

MANITOWOC

State

Zip

54220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005