SUSAN COSMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003823

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

COSMAN

Business Name

SUSAN COSMAN

Original Issue Date

06/29/1979

Effective Date

09/23/2009

Expiration Date

09/30/2012

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2012