SUSAN M FORNATTO-CARNEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005165

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

FORNATTO-CARNEY

Business Name

SUSAN M FORNATTO-CARNEY

Original Issue Date

06/06/1983

Effective Date

06/06/1983

Expiration Date

09/30/1986

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005