SUSAN M WISE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005732

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

WISE

Business Name

SUSAN M WISE

Original Issue Date

01/31/1985

Effective Date

06/14/2018

Expiration Date

01/31/2022

City

WESTLAKE VILLAGE

State

Zip

91361

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/09/2022