DANIELLE N BARSTAD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

Last Name

BARSTAD

Suffix

DDS

Business Name

DANIELLE N BARSTAD DDS

Original Issue Date

10/08/2008

Effective Date

06/19/2024

Expiration Date

09/30/2027

City

ELM GROVE

State

Zip

53122

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2024