SUZANNE LYNN GOODPASTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002300

License Status

NOT RENEWED

Business

First Name

SUZANNE LYNN

Last Name

GOODPASTER

Business Name

SUZANNE LYNN GOODPASTER

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1996

City

MOSCOW

State

Zip

83843

County

IDAHO

Ever Disciplined

LastModifiedDate

10/12/2005