JUDITH SUZANNA LOPEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000871

License Status

NOT RENEWED

Business

First Name

JUDITH SUZANNA

Last Name

LOPEZ

Business Name

JUDITH SUZANNA LOPEZ

Original Issue Date

07/18/1966

Effective Date

07/18/1966

Expiration Date

09/30/1984

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005