COLLEEN O'BRIEN NISWONGER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005195

License Status

NOT RENEWED

Business

First Name

COLLEEN O'BRIEN

Last Name

NISWONGER

Business Name

COLLEEN O'BRIEN NISWONGER

Original Issue Date

06/06/1983

Effective Date

06/06/1983

Expiration Date

09/30/1992

City

ELM GROVE

State

Zip

53122

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005