SARAH JEAN KONKOL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010931

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

JEAN

Last Name

KONKOL

Business Name

SARAH JEAN KONKOL

Original Issue Date

06/18/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DEPERE

State

Zip

54115

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006