JUDITH SUZANNA LOPEZ - Dentist License in Missouri | # 020000871

JUDITH SUZANNA LOPEZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000871

License Status

NOT RENEWED

Business

N

First Name

JUDITH SUZANNA

Last Name

LOPEZ

Business Name

JUDITH SUZANNA LOPEZ

Original Issue Date

07/18/1966

Effective Date

07/18/1966

Expiration Date

09/30/1984

State

MO

Ever Disciplined

N

LastModifiedDate

10/12/2005