SUSAN G PENNISTON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018345

License Status

INACTIVE

Business

First Name

SUSAN G

Last Name

PENNISTON

Business Name

SUSAN G PENNISTON

Original Issue Date

08/26/1982

Effective Date

08/26/1982

Expiration Date

09/30/1992

City

MINNEAPOLIS

State

Zip

55410

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/12/2005