SUZANNA MARIE WEST Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016555

License Status

ACTIVE

Business

First Name

SUZANNA

Middle

MARIE

Last Name

WEST

Business Name

SUZANNA MARIE WEST

Original Issue Date

07/24/2019

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

09/06/2024