SUSAN G PENNISTON - Dentist License in Minnesota | # 019018345

SUSAN G PENNISTON

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018345

License Status

INACTIVE

Business

N

First Name

SUSAN G

Last Name

PENNISTON

Business Name

SUSAN G PENNISTON

Original Issue Date

08/26/1982

Effective Date

08/26/1982

Expiration Date

09/30/1992

State

MN

Ever Disciplined

N

LastModifiedDate

10/12/2005