SUSAN BETH VITEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

SUSAN BETH

Last Name

VITEK

Suffix

DDS

Business Name

SUSAN BETH VITEK DDS

Original Issue Date

01/01/1998

Effective Date

08/17/2009

Expiration Date

09/30/2012

City

HILTON HEAD ISLAND

State

Zip

29928

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012