TERRY DELL CISLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000790

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

DELL

Last Name

CISLER

Suffix

DDS

Business Name

TERRY DELL CISLER DDS

Original Issue Date

07/27/2010

Effective Date

07/27/2010

Expiration Date

09/30/2012

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

11/14/2012