SUSAN L EAVES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002941

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

EAVES

Business Name

SUSAN L EAVES

Original Issue Date

08/10/1976

Effective Date

08/10/1976

City

FERGUSON

State

Zip

63135

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005