SUSAN MILLIE FAGAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023216

License Status

NOT RENEWED

Business

First Name

SUSAN MILLIE

Last Name

FAGAN

Suffix

DDS

Business Name

SUSAN MILLIE FAGAN DDS

Original Issue Date

04/23/1993

Effective Date

04/23/1993

Expiration Date

09/30/1994

City

WASHINGTON

State

Zip

48094

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005