SUSAN EILEEN JAEGLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003509

License Status

NOT RENEWED

Business

First Name

SUSAN EILEEN

Last Name

JAEGLE

Business Name

SUSAN EILEEN JAEGLE

Original Issue Date

06/20/1978

Effective Date

06/20/1978

Expiration Date

09/30/1990

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005