STEPHANIE SIU Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014591

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Last Name

SIU

Business Name

STEPHANIE SIU

Original Issue Date

01/22/2014

Effective Date

01/22/2014

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/25/2016