TARA MARIE BUDA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010792

License Status

NOT RENEWED

Business

First Name

TARA

Middle

MARIE

Last Name

BUDA

Business Name

TARA MARIE BUDA

Original Issue Date

09/15/2003

Effective Date

09/28/2015

Expiration Date

09/30/2018

City

RICHFIELD

State

Zip

53076

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018