MARY SUE ANDERSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003491

License Status

ACTIVE

Business

First Name

MARY SUE

Last Name

ANDERSEN

Business Name

MARY SUE ANDERSEN

Original Issue Date

06/20/1978

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

WALNUT

State

Zip

61376

County

BUREAU

Ever Disciplined

LastModifiedDate

08/13/2024