SUSAN VALERIE MAYER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

Title

DDS

First Name

SUSAN

Middle

VALERIE

Last Name

MAYER

Business Name

SUSAN VALERIE MAYER DDS

Original Issue Date

03/29/1985

Effective Date

03/29/1985

Expiration Date

09/30/1988

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005