SUSAN F DONOVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010758

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

DONOVAN

Business Name

SUSAN F DONOVAN

Original Issue Date

08/13/2003

Effective Date

09/19/2018

Expiration Date

01/31/2022

City

OAK CREEK

State

Zip

53154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/09/2022