MICHEL SCOTT SUSINA - Dentist License in Maine | # 020004070

MICHEL SCOTT SUSINA

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004070

License Status

INACTIVE

Business

N

First Name

MICHEL SCOTT

Last Name

SUSINA

Business Name

MICHEL SCOTT SUSINA

Original Issue Date

01/16/1980

Effective Date

01/16/1980

Expiration Date

09/30/1990

State

ME

Ever Disciplined

N

LastModifiedDate

10/12/2005