SUSAN L BROCKMANN - Dentist License in Missouri | # 020005478

SUSAN L BROCKMANN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005478

License Status

NOT RENEWED

Business

N

First Name

SUSAN L

Last Name

BROCKMANN

Business Name

SUSAN L BROCKMANN

Original Issue Date

05/24/1984

Effective Date

05/24/1984

Expiration Date

09/30/1986

State

MO

Ever Disciplined

N

LastModifiedDate

10/12/2005