SUSAN MARIE DATRE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011587

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

DATRE

Business Name

SUSAN MARIE DATRE

Original Issue Date

02/21/2006

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

HAINESVILLE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

11/04/2009