SUSAN L ANDERSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008387

License Status

INACTIVE

Business

First Name

SUSAN L

Last Name

ANDERSON

Business Name

SUSAN L ANDERSON

Original Issue Date

09/21/1994

Effective Date

09/01/2015

Expiration Date

09/30/2018

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/07/2018