SUE ELLEN SPAY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004096

License Status

INACTIVE

Business

First Name

SUE ELLEN

Last Name

SPAY

Business Name

SUE ELLEN SPAY

Original Issue Date

03/11/1980

Effective Date

03/11/1980

Expiration Date

09/30/1990

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

10/12/2005