SUSAN E DIAL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011715

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

DIAL

Business Name

SUSAN E DIAL

Original Issue Date

06/26/2006

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

LE ROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/14/2024