SUSAN ANNE KLEIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004641

License Status

NOT RENEWED

Business

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

City

SLEEPY HOLLOW

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

04/25/2016