RUSSELL GODFREY ROSENQUIST - Dentist License in Arizona | # 019010686

RUSSELL GODFREY ROSENQUIST

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010686

License Status

INACTIVE

Business

N

First Name

RUSSELL GODFREY

Last Name

ROSENQUIST

Business Name

RUSSELL GODFREY ROSENQUIST

Original Issue Date

08/09/1955

Effective Date

08/09/1955

Expiration Date

09/30/1998

State

AZ

Ever Disciplined

N

LastModifiedDate

10/12/2005