SUSAN EILEEN BURTON - Dentist License in Wisconsin | # 020001672

SUSAN EILEEN BURTON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001672

License Status

NOT RENEWED

Business

N

First Name

SUSAN EILEEN

Last Name

BURTON

Business Name

SUSAN EILEEN BURTON

Original Issue Date

07/13/1972

Effective Date

07/13/1972

Expiration Date

09/30/1992

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005