TODD RUSSELL RIDDELL D D S - Dentist License in Arizona | # 019014394

TODD RUSSELL RIDDELL D D S

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014394

License Status

INACTIVE

Business

N

First Name

TODD RUSSELL

Last Name

RIDDELL D D S

Business Name

TODD RUSSELL RIDDELL D D S

Original Issue Date

07/12/1972

Effective Date

07/12/1972

Expiration Date

09/30/1994

State

AZ

Ever Disciplined

N

LastModifiedDate

10/12/2005