SHIRLEY K VONDERHAAR Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011622

License Status

INACTIVE

Business

First Name

SHIRLEY

Middle

Last Name

VONDERHAAR

Business Name

SHIRLEY K VONDERHAAR

Original Issue Date

03/22/2006

Effective Date

06/19/2012

Expiration Date

09/30/2015

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/08/2015