SUSAN G PROESEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004567

License Status

NOT RENEWED

Business

First Name

SUSAN G

Last Name

PROESEL

Business Name

SUSAN G PROESEL

Original Issue Date

06/30/1981

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

TOWANDA

State

Zip

61776

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/25/2016