SUSAN KAY CLOSSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004362

License Status

NOT RENEWED

Business

First Name

SUSAN KAY

Last Name

CLOSSON

Business Name

SUSAN KAY CLOSSON

Original Issue Date

09/15/1980

Effective Date

06/11/2015

Expiration Date

09/30/2018

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/31/2018