SUSAN WELLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018328

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

WELLER

Business Name

SUSAN WELLER

Original Issue Date

08/03/1982

Effective Date

06/19/2018

Expiration Date

01/31/2022

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/09/2022