SUSAN ANN JEFFRIES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010040

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ANN

Last Name

JEFFRIES

Business Name

SUSAN ANN JEFFRIES

Original Issue Date

07/13/2001

Effective Date

07/13/2001

Expiration Date

09/30/2004

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005