DEBRA A DELFORGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008199

License Status

NOT RENEWED

Business

First Name

DEBRA A

Last Name

DELFORGE

Business Name

DEBRA A DELFORGE

Original Issue Date

06/08/1994

Effective Date

06/08/1994

Expiration Date

09/30/2000

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005