KIMBERLY ANN BOUDREAUX Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010257

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BOUDREAUX

Business Name

KIMBERLY ANN BOUDREAUX

Original Issue Date

03/26/2002

Effective Date

12/27/2021

Expiration Date

09/30/2024

City

OAK CREEK

State

Zip

53154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/04/2025