SUE GILLIAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000203

License Status

NOT RENEWED

Business

First Name

SUE

Last Name

GILLIAM

Business Name

SUE GILLIAM

Original Issue Date

07/29/1954

Effective Date

07/29/1954

City

TAMPA

State

Zip

33603

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005