SUSANNA FISENKOVA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034060

License Status

ACTIVE

Business

First Name

SUSANNA

Last Name

FISENKOVA

Business Name

SUSANNA FISENKOVA

Original Issue Date

01/23/2023

Effective Date

06/28/2024

Expiration Date

09/30/2027

City

FARMINGTON HILLS

State

Zip

48331

Ever Disciplined

LastModifiedDate

06/28/2024