SUSAN VERFURTH MAZEIKA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004792

License Status

INACTIVE

Business

First Name

SUSAN VERFURTH

Last Name

MAZEIKA

Business Name

SUSAN VERFURTH MAZEIKA

Original Issue Date

02/09/1982

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/24/2006