SUSAN COLLEEN SAFOREK - Dentist License in Missouri | # 020004056

SUSAN COLLEEN SAFOREK

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004056

License Status

INACTIVE

Business

N

First Name

SUSAN COLLEEN

Last Name

SAFOREK

Business Name

SUSAN COLLEEN SAFOREK

Original Issue Date

11/05/1979

Effective Date

11/05/1979

Expiration Date

09/30/1998

State

MO

Ever Disciplined

N

LastModifiedDate

10/12/2005