SUSAN MARY LARSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003063

License Status

NOT RENEWED

Business

First Name

SUSAN MARY

Last Name

LARSON

Business Name

SUSAN MARY LARSON

Original Issue Date

02/22/1977

Effective Date

02/22/1977

City

BARRINGTON

State

Zip

60010

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005