SUSAN CAROL LEWIS - Dentist License in Illinois | # 020000936

SUSAN CAROL LEWIS

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000936

License Status

INACTIVE

Business

N

First Name

SUSAN CAROL

Last Name

LEWIS

Business Name

SUSAN CAROL LEWIS

Original Issue Date

07/20/1967

Effective Date

09/17/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

06/08/2015