SUSAN ANNE KLEIN - Dentist License in Illinois | # 020004641

SUSAN ANNE KLEIN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004641

License Status

NOT RENEWED

Business

N

First Name

SUSAN ANNE

Last Name

KLEIN

Business Name

SUSAN ANNE KLEIN

Original Issue Date

07/21/1981

Effective Date

08/08/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016