ALBERT JOSEPH PETRULIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000508

License Status

NOT RENEWED

Business

First Name

ALBERT JOSEPH

Last Name

PETRULIS

Suffix

DDS

Business Name

ALBERT JOSEPH PETRULIS DDS

Original Issue Date

11/18/1966

Effective Date

11/18/1966

Expiration Date

09/30/2000

City

BARABOO

State

Zip

53913

County

WISCONSIN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/17/2005