MICHEL SCOTT SUSINA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004070

License Status

INACTIVE

Business

First Name

MICHEL SCOTT

Last Name

SUSINA

Business Name

MICHEL SCOTT SUSINA

Original Issue Date

01/16/1980

Effective Date

01/16/1980

Expiration Date

09/30/1990

City

BRUNSWICK

State

Zip

04011

County

MAINE

Ever Disciplined

LastModifiedDate

10/12/2005