Wisconsin
Department of Safety and Professional Services
Ellenz, Susan J
Dentistry
License number
3996-15
Date granted
11/02/1988
Date expires
09/30/2007
Class
Dentistry
Status
Expired
wisconsinlicensing.org
ID 35574570
LAST UPDATED 2024-04-07 23:21:22 UTC
LAST UPDATED 2024-04-07 23:21:22 UTC
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