Wisconsin
Department of Safety and Professional Services
Black, Anntionette
Dental Hygiene
License number
1002206-16
Date granted
06/22/1977
Date expires
09/30/2001
Class
Dental Hygiene
Status
Expired
wisconsinlicensing.org
ID 35587673
LAST UPDATED 2024-04-12 12:36:03 UTC
LAST UPDATED 2024-04-12 12:36:03 UTC
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