SUZANNE MARIE WILD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011604

License Status

ACTIVE

Business

First Name

SUZANNE

Middle

MARIE

Last Name

WILD

Business Name

SUZANNE MARIE WILD

Original Issue Date

03/03/2006

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/25/2024