SUSAN MARY ROSE - Dentist License in Illinois | # 020001882

SUSAN MARY ROSE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001882

License Status

NOT RENEWED

Business

N

First Name

SUSAN MARY

Last Name

ROSE

Business Name

SUSAN MARY ROSE

Original Issue Date

12/13/1972

Effective Date

12/13/1972

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005