ROBERTA M KERRICK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005128

License Status

INACTIVE

Business

First Name

ROBERTA M

Last Name

KERRICK

Business Name

ROBERTA M KERRICK

Original Issue Date

03/11/1983

Effective Date

03/11/1983

Expiration Date

09/30/1992

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005