SUSAN L BROCKMANN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005478

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

BROCKMANN

Business Name

SUSAN L BROCKMANN

Original Issue Date

05/24/1984

Effective Date

05/24/1984

Expiration Date

09/30/1986

City

KANSAS CITY

State

Zip

64112

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005