SUSAN ANN CASOLA - Dentist License in Indiana | # 020000687

SUSAN ANN CASOLA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000687

License Status

NOT RENEWED

Business

N

First Name

SUSAN ANN

Last Name

CASOLA

Business Name

SUSAN ANN CASOLA

Original Issue Date

07/14/1964

Effective Date

07/14/1964

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005