GINA MARIE FISHBURN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011397

License Status

ACTIVE

Business

First Name

GINA

Middle

MARIE

Last Name

FISHBURN

Business Name

GINA MARIE FISHBURN

Original Issue Date

07/18/2005

Effective Date

06/14/2024

Expiration Date

09/30/2027

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/25/2025