SUSAN KAY BRICH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001070

License Status

INACTIVE

Business

First Name

SUSAN KAY

Last Name

BRICH

Business Name

SUSAN KAY BRICH

Original Issue Date

07/16/1968

Effective Date

07/16/1968

Expiration Date

09/30/1990

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005