KRISTINA MUTIC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012338

License Status

NOT RENEWED

Business

First Name

KRISTINA

Last Name

MUTIC

Business Name

KRISTINA MUTIC

Original Issue Date

12/27/2007

Effective Date

12/27/2007

Expiration Date

09/30/2009

City

HARTFORD

State

Zip

53027

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/04/2009