SUZANNE C KELLER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010576

License Status

INACTIVE

Business

First Name

SUZANNE

Middle

Last Name

KELLER

Business Name

SUZANNE C KELLER

Original Issue Date

05/15/2003

Effective Date

08/13/2015

Expiration Date

09/30/2018

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/07/2018