SUZANNE LYNN GOODPASTER - Dentist License in Idaho | # 020002300

SUZANNE LYNN GOODPASTER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002300

License Status

NOT RENEWED

Business

N

First Name

SUZANNE LYNN

Last Name

GOODPASTER

Business Name

SUZANNE LYNN GOODPASTER

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1996

State

ID

Ever Disciplined

N

LastModifiedDate

10/12/2005