SUSAN HARRISON SHEETS DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

CANCELLED

Business

First Name

SUSAN HARRISON

Last Name

SHEETS

Suffix

DDS

Business Name

SUSAN HARRISON SHEETS DDS

Original Issue Date

01/28/1985

Effective Date

01/28/1985

Expiration Date

09/30/2006

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006