DESERAE LECIA FAUN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011644

License Status

NOT RENEWED

Business

First Name

DESERAE

Middle

LECIA

Last Name

FAUN

Business Name

DESERAE LECIA FAUN

Original Issue Date

05/25/2006

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012