SUSAN L SOUZA - Dentist License in Illinois | # 020005555

SUSAN L SOUZA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005555

License Status

NOT RENEWED

Business

N

First Name

SUSAN L

Last Name

SOUZA

Business Name

SUSAN L SOUZA

Original Issue Date

07/18/1984

Effective Date

08/03/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018