SUSAN F DONOVAN - Dentist License in Wisconsin | # 020010758

SUSAN F DONOVAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010758

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

F

Last Name

DONOVAN

Business Name

SUSAN F DONOVAN

Original Issue Date

08/13/2003

Effective Date

09/19/2018

Expiration Date

01/31/2022

State

WI

Ever Disciplined

N

LastModifiedDate

05/09/2022