BROOKE ASHLEY TALLEUR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013129

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

ASHLEY

Last Name

TALLEUR

Business Name

BROOKE ASHLEY TALLEUR

Original Issue Date

03/05/2010

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016