SUSAN M STEPHENS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005290

License Status

INACTIVE

Business

First Name

SUSAN M

Last Name

STEPHENS

Business Name

SUSAN M STEPHENS

Original Issue Date

07/18/1983

Effective Date

07/18/1983

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005