SUSAN L BRACKER - Dentist License in Illinois | # 019020448

SUSAN L BRACKER

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020448

License Status

NOT RENEWED

Business

N

First Name

SUSAN L

Last Name

BRACKER

Business Name

SUSAN L BRACKER

Original Issue Date

01/23/1987

Effective Date

01/23/1987

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005