SANDRA SUSALLA HAMILL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004797

License Status

INACTIVE

Business

First Name

SANDRA SUSALLA

Last Name

HAMILL

Business Name

SANDRA SUSALLA HAMILL

Original Issue Date

03/15/1982

Effective Date

03/15/1982

Expiration Date

09/30/1994

City

WIXOM

State

Zip

48393

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005