SUSAN ANN CASOLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000687

License Status

NOT RENEWED

Business

First Name

SUSAN ANN

Last Name

CASOLA

Business Name

SUSAN ANN CASOLA

Original Issue Date

07/14/1964

Effective Date

07/14/1964

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005