SUE ELLEN SPENCER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002997

License Status

NOT RENEWED

Business

First Name

SUE ELLEN

Last Name

SPENCER

Business Name

SUE ELLEN SPENCER

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1992

City

CHAMPAIGN

State

Zip

61821

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/12/2005