SUSAN JANE WILLIFORD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003412

License Status

NOT RENEWED

Business

First Name

SUSAN JANE

Last Name

WILLIFORD

Business Name

SUSAN JANE WILLIFORD

Original Issue Date

12/21/1977

Effective Date

12/21/1977

Expiration Date

04/01/1982

City

DES MOINES

State

Zip

50322

County

IOWA

Ever Disciplined

LastModifiedDate

10/12/2005