SUSAN L KUSMIERZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006272

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

KUSMIERZ

Business Name

SUSAN L KUSMIERZ

Original Issue Date

09/17/1986

Effective Date

09/17/1986

Expiration Date

09/30/1988

City

GRAND RAPIDS

State

Zip

49505

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005