SUE ELLEN ZASTOUPIL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002181

License Status

NOT RENEWED

Business

First Name

SUE ELLEN

Last Name

ZASTOUPIL

Business Name

SUE ELLEN ZASTOUPIL

Original Issue Date

07/03/1974

Effective Date

09/12/2021

Expiration Date

09/30/2024

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/04/2025