SUSAN LEIGH ROBERTS - Dentist License in Illinois | # 020000458

SUSAN LEIGH ROBERTS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000458

License Status

NOT RENEWED

Business

N

First Name

SUSAN LEIGH

Last Name

ROBERTS

Business Name

SUSAN LEIGH ROBERTS

Original Issue Date

12/24/1959

Effective Date

12/24/1959

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005