SUSANNE L DEDECKER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003197

License Status

INACTIVE

Business

First Name

SUSANNE L

Last Name

DEDECKER

Business Name

SUSANNE L DEDECKER

Original Issue Date

07/01/1977

Effective Date

07/01/1977

Expiration Date

09/30/1998

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005