STACY L JESERIG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010260

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

JESERIG

Business Name

STACY L JESERIG

Original Issue Date

04/08/2002

Effective Date

07/30/2009

Expiration Date

09/30/2012

City

MENOMONEE FALLS

State

Zip

53051

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012