SUSAN SAUER COLLINS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001057

License Status

INACTIVE

Business

First Name

SUSAN

Middle

SAUER

Last Name

COLLINS

Business Name

SUSAN SAUER COLLINS

Original Issue Date

07/16/1968

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006