SUSAN M SISTERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002573

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

SISTERSON

Business Name

SUSAN M SISTERSON

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1988

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

10/12/2005