KATHLEEN M THEILE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006775

License Status

INACTIVE

Business

First Name

KATHLEEN M

Last Name

THEILE

Business Name

KATHLEEN M THEILE

Original Issue Date

08/17/1988

Effective Date

08/17/1988

Expiration Date

09/30/1994

City

FOND DU LAC

State

Zip

54939

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005