SUSAN BETH VITEK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016886

License Status

INACTIVE

Business

First Name

SUSAN BETH

Last Name

VITEK

Suffix

DDS

Business Name

SUSAN BETH VITEK DDS

Original Issue Date

07/26/1979

Effective Date

08/17/2009

Expiration Date

09/30/2012

City

HILTON HEAD ISLAND

State

Zip

29928

Ever Disciplined

LastModifiedDate

06/06/2012