PAMELA JANE STORLIE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009824

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

JANE

Last Name

STORLIE

Business Name

PAMELA JANE STORLIE

Original Issue Date

06/29/2000

Effective Date

06/29/2000

Expiration Date

09/30/2004

City

JACKSON

State

Zip

53037

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005