SUSAN L BIRDSALL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005979

License Status

INACTIVE

Business

First Name

SUSAN L

Last Name

BIRDSALL

Business Name

SUSAN L BIRDSALL

Original Issue Date

09/04/1985

Effective Date

09/04/1985

Expiration Date

09/30/2004

City

WALES

State

Zip

53183

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005