SUSAN CAMPBELL WELKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003394

License Status

NOT RENEWED

Business

First Name

SUSAN CAMPBELL

Last Name

WELKE

Business Name

SUSAN CAMPBELL WELKE

Original Issue Date

10/25/1977

Effective Date

10/25/1977

Expiration Date

09/30/1992

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005