SUSAN GRACE HAGEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002969

License Status

ACTIVE

Business

First Name

SUSAN GRACE

Last Name

HAGEN

Business Name

SUSAN GRACE HAGEN

Original Issue Date

07/13/1976

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

GREENSBORO

State

Zip

30642

County

GREENE

Ever Disciplined

LastModifiedDate

09/20/2024