SUSAN L ANDERSON - Dentist License in Illinois | # 020007064

SUSAN L ANDERSON

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007064

License Status

INACTIVE

Business

N

First Name

SUSAN L

Last Name

ANDERSON

Business Name

SUSAN L ANDERSON

Original Issue Date

09/08/1989

Effective Date

09/08/1989

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005