SUSAN M COPASS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002233

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

COPASS

Business Name

SUSAN M COPASS

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1998

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/12/2005