SUSAN KAY BRICH - Dentist License in Indiana | # 020001070

SUSAN KAY BRICH

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001070

License Status

INACTIVE

Business

N

First Name

SUSAN KAY

Last Name

BRICH

Business Name

SUSAN KAY BRICH

Original Issue Date

07/16/1968

Effective Date

07/16/1968

Expiration Date

09/30/1990

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005