JACK BAKER BURRELL DDS - Dentist License in Arizona | # 019008756

JACK BAKER BURRELL DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008756

License Status

INACTIVE

Business

N

First Name

JACK BAKER

Last Name

BURRELL

Suffix

DDS

Business Name

JACK BAKER BURRELL DDS

Original Issue Date

02/19/1945

Effective Date

02/19/1945

Expiration Date

09/30/1998

State

AZ

Ever Disciplined

N

LastModifiedDate

10/12/2005