SUSAN ELAINE KIRBY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001577

License Status

NOT RENEWED

Business

First Name

SUSAN ELAINE

Last Name

KIRBY

Business Name

SUSAN ELAINE KIRBY

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

TOLONO

State

Zip

61880

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005