SUSAN LEE NEAL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002579

License Status

INACTIVE

Business

First Name

SUSAN LEE

Last Name

NEAL

Business Name

SUSAN LEE NEAL

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1990

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005