SUSAN EILEEN BURTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001672

License Status

NOT RENEWED

Business

First Name

SUSAN EILEEN

Last Name

BURTON

Business Name

SUSAN EILEEN BURTON

Original Issue Date

07/13/1972

Effective Date

07/13/1972

Expiration Date

09/30/1992

City

HARVARD

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005