SUSAN GRACE HAGEN - Dentist License in Georgia | # 020002969

SUSAN GRACE HAGEN

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002969

License Status

ACTIVE

Business

N

First Name

SUSAN GRACE

Last Name

HAGEN

Business Name

SUSAN GRACE HAGEN

Original Issue Date

07/13/1976

Effective Date

09/20/2024

Expiration Date

09/30/2027

State

GA

Ever Disciplined

N

LastModifiedDate

09/20/2024