LAURIE ELLEN SUSARCHICK-STACHE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032057

License Status

ACTIVE

Business

Title

DDS

First Name

LAURIE

Middle

ELLEN

Last Name

SUSARCHICK-STACHE

Business Name

LAURIE ELLEN SUSARCHICK-STACHE DDS

Original Issue Date

05/06/2019

Effective Date

06/18/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

Ever Disciplined

LastModifiedDate

06/18/2024