SUSAN F BURGESS DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020251

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

BURGESS

Suffix

DMD

Business Name

SUSAN F BURGESS DMD

Original Issue Date

08/07/1986

Effective Date

06/15/2018

Expiration Date

12/31/2021

City

NAPLES

State

Zip

34113

Ever Disciplined

LastModifiedDate

12/23/2021