THERESA LEE TRZEBNY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011556

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

LEE

Last Name

TRZEBNY

Business Name

THERESA LEE TRZEBNY

Original Issue Date

08/29/2005

Effective Date

10/11/2007

Expiration Date

09/30/2009

City

DOUSMAN

State

Zip

53118

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/04/2009