Susan Carol Lewis
InactiveIllinois license 020000936
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020000936
- Status
- Inactive
- First issued
- July 20, 1967
- Expired
- September 30, 2015
- License holder
- Susan Carol Lewis
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/17/2012
Contact
Highland Park, IL 60035
Lake County