SUSAN M PORTZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007416

License Status

ACTIVE

Business

First Name

SUSAN M

Last Name

PORTZ

Business Name

SUSAN M PORTZ

Original Issue Date

07/17/1991

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2024