JASON T WATZKA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011378

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

WATZKA

Business Name

JASON T WATZKA

Original Issue Date

07/11/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006