MICHELLE L EKERN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010790

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

EKERN

Business Name

MICHELLE L EKERN

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

09/30/2004

City

CHASEBURG

State

Zip

54621

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005