JEFFREY HOWARD KOOTMAN - Dentist License in Arizona | # 019018917

JEFFREY HOWARD KOOTMAN

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018917

License Status

INACTIVE

Business

N

First Name

JEFFREY HOWARD

Last Name

KOOTMAN

Business Name

JEFFREY HOWARD KOOTMAN

Original Issue Date

11/22/1983

Effective Date

11/22/1983

Expiration Date

09/30/1990

State

AZ

Ever Disciplined

N

LastModifiedDate

10/12/2005