SUSAN G HICKERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008237

License Status

ACTIVE

Business

First Name

SUSAN G

Last Name

HICKERSON

Business Name

SUSAN G HICKERSON

Original Issue Date

07/09/1994

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/29/2024