SUSAN PRIETO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016496

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

PRIETO

Business Name

SUSAN PRIETO

Original Issue Date

06/18/2019

Effective Date

06/18/2019

Expiration Date

01/31/2022

City

AMHERST

State

Zip

44001

Ever Disciplined

LastModifiedDate

05/09/2022