SOPHIA ELIZABETH ALTENBURG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

Title

DDS

First Name

SOPHIA

Middle

ELIZABETH

Last Name

ALTENBURG

Business Name

SOPHIA ELIZABETH ALTENBURG DDS

Original Issue Date

08/11/2023

Effective Date

08/11/2023

Expiration Date

09/30/2024

City

WAUWATOSA

State

Zip

53213

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025