SUSAN M FROMM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006067

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

FROMM

Business Name

SUSAN M FROMM

Original Issue Date

06/20/1986

Effective Date

06/20/1986

Expiration Date

09/30/1994

City

MILWAUKEE

State

Zip

53225

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005