SUSAN MARIE MOELLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001762

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

MOELLER

Business Name

SUSAN MARIE MOELLER

Original Issue Date

06/04/1972

Effective Date

09/20/2021

Expiration Date

09/30/2024

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025