SUSAN NELSON TAYLOR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000537

License Status

ACTIVE

Business

First Name

SUSAN NELSON

Last Name

TAYLOR

Business Name

SUSAN NELSON TAYLOR

Original Issue Date

07/24/1961

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/19/2024