SUSAN M PODSIADLIK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006791

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

PODSIADLIK

Business Name

SUSAN M PODSIADLIK

Original Issue Date

09/03/1988

Effective Date

09/03/1988

Expiration Date

09/30/2004

City

MOUNTAIN HOME

State

Zip

72653

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/17/2005