SUSAN FAHAM Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009305

License Status

INACTIVE

Business

First Name

SUSAN

Last Name

FAHAM

Business Name

SUSAN FAHAM

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

09/30/2002

City

LAGUNA NIGUEL

State

Zip

92677

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005