SUSAN FARACY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005281

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

FARACY

Business Name

SUSAN FARACY

Original Issue Date

07/18/1983

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

DELAFIELD

State

Zip

53018

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/09/2022