SUSAN ELAINE DERRYBERRY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009173

License Status

NOT RENEWED

Business

First Name

SUSAN ELAINE

Last Name

DERRYBERRY

Business Name

SUSAN ELAINE DERRYBERRY

Original Issue Date

04/29/1998

Effective Date

04/29/1998

Expiration Date

09/30/2000

City

PALM BEACH GARDENS

State

Zip

33418

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005