SUSAN L THOMPSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012197

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

THOMPSON

Business Name

SUSAN L THOMPSON

Original Issue Date

07/05/2007

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

STURTEVANT

State

Zip

53177

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018