Wisconsin
Department of Safety and Professional Services
Van Pietersom, Susan Irene
Dental Hygiene
License number
2522-16
Date granted
06/20/1979
Date expires
09/30/2015
Class
Dental Hygiene
Status
wisconsinlicensing.org
ID 12629793
LAST UPDATED 2024-03-04 10:15:26 UTC
LAST UPDATED 2024-03-04 10:15:26 UTC
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