SUSAN RAE KLEIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007579

License Status

ACTIVE

Business

First Name

SUSAN RAE

Last Name

KLEIN

Business Name

SUSAN RAE KLEIN

Original Issue Date

10/21/1991

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

09/29/2024