SUSAN COLLEEN SAFOREK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004056

License Status

INACTIVE

Business

First Name

SUSAN COLLEEN

Last Name

SAFOREK

Business Name

SUSAN COLLEEN SAFOREK

Original Issue Date

11/05/1979

Effective Date

11/05/1979

Expiration Date

09/30/1998

City

LEE'S SUMMIT

State

Zip

64064

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005