TERESA A WOJTAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013822

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

WOJTAK

Business Name

TERESA A WOJTAK

Original Issue Date

11/10/2011

Effective Date

11/10/2011

Expiration Date

09/30/2012

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012