Susan L Birdsall
InactiveIllinois license 020005979
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020005979
- Status
- Inactive
- First issued
- September 4, 1985
- Expired
- September 30, 2004
- License holder
- Susan L Birdsall
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/04/1985
Contact
Wales, WI 53183
Wisconsin County