SUE ANN JANUSZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001225

License Status

NOT RENEWED

Business

First Name

SUE ANN

Last Name

JANUSZ

Business Name

SUE ANN JANUSZ

Original Issue Date

12/08/1969

Effective Date

12/08/1969

Expiration Date

09/30/2004

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005