LEE ANN MARY LOCKWOOD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003659

License Status

NOT RENEWED

Business

First Name

LEE ANN MARY

Last Name

LOCKWOOD

Business Name

LEE ANN MARY LOCKWOOD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

09/30/1984

City

WEST BEND

State

Zip

53095

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005