NANCY JEAN MINARIK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004012

License Status

NOT RENEWED

Business

First Name

NANCY JEAN

Last Name

MINARIK

Business Name

NANCY JEAN MINARIK

Original Issue Date

09/07/1979

Effective Date

08/14/2009

Expiration Date

09/30/2012

City

VERONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012