SUSAN L BIRDSALL - Dentist License in Wisconsin | # 020005979

SUSAN L BIRDSALL

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005979

License Status

INACTIVE

Business

N

First Name

SUSAN L

Last Name

BIRDSALL

Business Name

SUSAN L BIRDSALL

Original Issue Date

09/04/1985

Effective Date

09/04/1985

Expiration Date

09/30/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005