SUSAN A FULLER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007046

License Status

INACTIVE

Business

First Name

SUSAN A

Last Name

FULLER

Business Name

SUSAN A FULLER

Original Issue Date

08/23/1989

Effective Date

08/23/1989

Expiration Date

09/30/1992

City

CONWAY

State

Zip

72032

Ever Disciplined

LastModifiedDate

10/12/2005