SUSAN MARIE WITTMER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001766

License Status

INACTIVE

Business

First Name

SUSAN MARIE

Last Name

WITTMER

Business Name

SUSAN MARIE WITTMER

Original Issue Date

07/13/1972

Effective Date

07/13/1972

Expiration Date

09/30/1992

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

10/12/2005