CARRIE ELLEN EBERHARDT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010882

License Status

INACTIVE

Business

First Name

CARRIE

Middle

ELLEN

Last Name

EBERHARDT

Business Name

CARRIE ELLEN EBERHARDT

Original Issue Date

03/05/2004

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/07/2018