SUSAN L CAMPAGNA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004543

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

CAMPAGNA

Business Name

SUSAN L CAMPAGNA

Original Issue Date

06/30/1981

Effective Date

09/08/2015

Expiration Date

09/30/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/31/2018