AMBER DAWN BERKHOUS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014161

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

DAWN

Last Name

BERKHOUS

Business Name

AMBER DAWN BERKHOUS

Original Issue Date

08/20/2012

Effective Date

01/19/2016

Expiration Date

09/30/2018

City

TWIN LAKES

State

Zip

53181

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018