SUSAN E HANNAFOR LONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004769

License Status

NOT RENEWED

Business

First Name

SUSAN E HANNAFOR

Last Name

LONG

Business Name

SUSAN E HANNAFOR LONG

Original Issue Date

10/17/1981

Effective Date

10/17/1981

Expiration Date

04/01/1982

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/12/2005