KRISTINE L WIRKUS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005109

License Status

NOT RENEWED

Business

First Name

KRISTINE L

Last Name

WIRKUS

Business Name

KRISTINE L WIRKUS

Original Issue Date

01/17/1983

Effective Date

01/17/1983

Expiration Date

09/30/1984

City

LACROSSE

State

Zip

54601

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005