JULIE M FAKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006763

License Status

NOT RENEWED

Business

First Name

JULIE M

Last Name

FAKE

Business Name

JULIE M FAKE

Original Issue Date

08/13/1988

Effective Date

08/13/1988

Expiration Date

09/30/1992

City

CEDARBURG

State

Zip

53012

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005