ANN M FEDORKO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007478

License Status

NOT RENEWED

Business

First Name

ANN M

Last Name

FEDORKO

Business Name

ANN M FEDORKO

Original Issue Date

08/05/1991

Effective Date

08/05/1991

Expiration Date

09/30/1992

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005