SUSAN J ANDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008015

License Status

NOT RENEWED

Business

First Name

SUSAN J

Last Name

ANDERSON

Business Name

SUSAN J ANDERSON

Original Issue Date

07/29/1993

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/31/2018