Wisconsin
Department of Safety and Professional Services
Burks-Van Derhei, Wenona M
Dentistry
License number
5015-15
Date granted
06/05/1998
Date expires
09/30/2013
Class
Dentistry
Status
Expired
wisconsinlicensing.org
ID 35575588
LAST UPDATED 2024-03-09 22:13:27 UTC
LAST UPDATED 2024-03-09 22:13:27 UTC
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