SUSAN L SOUZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005555

License Status

NOT RENEWED

Business

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

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018