DONNA MARIE ZAGAME Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009914

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

MARIE

Last Name

ZAGAME

Business Name

DONNA MARIE ZAGAME

Original Issue Date

09/19/2000

Effective Date

09/06/2012

Expiration Date

09/30/2015

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016