KELLY ANN PUNZEL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011480

License Status

INACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

PUNZEL

Business Name

KELLY ANN PUNZEL

Original Issue Date

08/15/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

JANESVILLE

State

Zip

53548

Ever Disciplined

LastModifiedDate

07/24/2006