SUZANNE K OTTO Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012262

License Status

INACTIVE

Business

First Name

SUZANNE

Middle

Last Name

OTTO

Business Name

SUZANNE K OTTO

Original Issue Date

08/14/2007

Effective Date

10/25/2021

Expiration Date

09/30/2024

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/25/2021