SUELLEN ALEXANDER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000788

License Status

INACTIVE

Business

First Name

SUELLEN

Last Name

ALEXANDER

Business Name

SUELLEN ALEXANDER

Original Issue Date

07/15/1965

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

06/04/2009