LAURIE ELLEN SUSARCHICK-STACHE DDS - Dentist License in Illinois | # 021003097

LAURIE ELLEN SUSARCHICK-STACHE DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003097

License Status

ACTIVE

Business

N

Title

DDS

First Name

LAURIE

Middle

ELLEN

Last Name

SUSARCHICK-STACHE

Business Name

LAURIE ELLEN SUSARCHICK-STACHE DDS

Original Issue Date

05/12/2021

Effective Date

06/18/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Ever Disciplined

N

LastModifiedDate

06/18/2024