SUSAN Z AMUNDSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001368

License Status

NOT RENEWED

Business

First Name

SUSAN Z

Last Name

AMUNDSEN

Business Name

SUSAN Z AMUNDSEN

Original Issue Date

07/07/1970

Effective Date

08/14/2012

Expiration Date

09/30/2015

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2016