DERRONG SUN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008898

License Status

INACTIVE

Business

First Name

DERRONG

Last Name

SUN

Business Name

DERRONG SUN

Original Issue Date

12/16/1996

Effective Date

12/16/1996

Expiration Date

09/30/1998

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005