SUSAN RENAE HART Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011286

License Status

ACTIVE

Business

First Name

SUSAN

Middle

RENAE

Last Name

HART

Business Name

SUSAN RENAE HART

Original Issue Date

05/31/2005

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CORNELL

State

Zip

61319

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/16/2024