ADELL LOUISE FRYE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010330

License Status

NOT RENEWED

Business

First Name

ADELL

Middle

LOUISE

Last Name

FRYE

Business Name

ADELL LOUISE FRYE

Original Issue Date

06/21/2002

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012