SUSAN CHIASSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014189

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

CHIASSON

Business Name

SUSAN CHIASSON

Original Issue Date

10/02/2012

Effective Date

10/02/2012

Expiration Date

09/30/2015

City

FAIRFIELD

State

Zip

06824

Ever Disciplined

LastModifiedDate

04/25/2016