KRISTI LEIGH SANDUSKY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010884

License Status

INACTIVE

Business

First Name

KRISTI

Middle

LEIGH

Last Name

SANDUSKY

Business Name

KRISTI LEIGH SANDUSKY

Original Issue Date

03/10/2004

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

GREEN BAY

State

Zip

54301

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2012