SUE LAYNE RENUSCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006300

License Status

NOT RENEWED

Business

First Name

SUE LAYNE

Last Name

RENUSCH

Business Name

SUE LAYNE RENUSCH

Original Issue Date

10/08/1986

Effective Date

10/08/1986

Expiration Date

09/30/1990

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005