SUSAN BOEHLE COSTLIOW Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004479

License Status

ACTIVE

Business

First Name

SUSAN BOEHLE

Last Name

COSTLIOW

Business Name

SUSAN BOEHLE COSTLIOW

Original Issue Date

06/25/1981

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

AMBOY

State

Zip

61310

County

LEE

Ever Disciplined

LastModifiedDate

05/16/2024