SUSAN C POLLY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001550

License Status

NOT RENEWED

Business

First Name

SUSAN C

Last Name

POLLY

Business Name

SUSAN C POLLY

Original Issue Date

07/08/1971

Effective Date

07/30/2018

Expiration Date

01/31/2022

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/09/2022