SUSAN M DYRA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001741

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

DYRA

Business Name

SUSAN M DYRA

Original Issue Date

07/13/1972

Effective Date

06/19/2012

Expiration Date

09/30/2015

City

PEARL CITY

State

Zip

61062

County

STEPHENSON

Ever Disciplined

LastModifiedDate

04/25/2016