SUSAN ELIZABETH FRIEDRICHSEN - Dentist License in Idaho | # 020003211

SUSAN ELIZABETH FRIEDRICHSEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003211

License Status

NOT RENEWED

Business

N

First Name

SUSAN ELIZABETH

Last Name

FRIEDRICHSEN

Business Name

SUSAN ELIZABETH FRIEDRICHSEN

Original Issue Date

07/07/1977

Effective Date

07/07/1977

Expiration Date

09/30/1984

State

ID

Ever Disciplined

N

LastModifiedDate

10/12/2005