SUSAN F ERTEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008617

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

ERTEL

Business Name

SUSAN F ERTEL

Original Issue Date

09/26/1995

Effective Date

10/15/2009

Expiration Date

09/30/2012

City

MC FARLAND

State

Zip

53558

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012