MARIBETH GUYETTE SURMA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001402

License Status

NOT RENEWED

Business

First Name

MARIBETH

Middle

GUYETTE

Last Name

SURMA

Business Name

MARIBETH GUYETTE SURMA

Original Issue Date

11/23/1970

Effective Date

08/06/2012

Expiration Date

09/30/2015

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

04/25/2016