LAURIE ELLEN SUSARCHICK-STACHE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003097

License Status

ACTIVE

Business

Title

DDS

First Name

LAURIE

Middle

ELLEN

Last Name

SUSARCHICK-STACHE

Business Name

LAURIE ELLEN SUSARCHICK-STACHE DDS

Original Issue Date

05/12/2021

Effective Date

06/18/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

Specialty/Qualifier

ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Ever Disciplined

LastModifiedDate

06/18/2024