SUSAN MARY ROSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001882

License Status

NOT RENEWED

Business

First Name

SUSAN MARY

Last Name

ROSE

Business Name

SUSAN MARY ROSE

Original Issue Date

12/13/1972

Effective Date

12/13/1972

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/12/2005