JULIE ANN SURMO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003914

License Status

NOT RENEWED

Business

First Name

JULIE ANN

Last Name

SURMO

Business Name

JULIE ANN SURMO

Original Issue Date

07/18/1979

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/09/2022