SARAH MARIE DIETRICH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008407

License Status

NOT RENEWED

Business

First Name

SARAH MARIE

Last Name

DIETRICH

Business Name

SARAH MARIE DIETRICH

Original Issue Date

11/03/1994

Effective Date

11/03/1994

Expiration Date

09/30/1996

City

COTTAGE GROVE

State

Zip

53527

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005