SUSAN ELIZABETH FRIEDRICHSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003211

License Status

NOT RENEWED

Business

First Name

SUSAN ELIZABETH

Last Name

FRIEDRICHSEN

Business Name

SUSAN ELIZABETH FRIEDRICHSEN

Original Issue Date

07/07/1977

Effective Date

07/07/1977

Expiration Date

09/30/1984

City

POCATELLO

State

Zip

83204

County

IDAHO

Ever Disciplined

LastModifiedDate

10/12/2005