SCOTT LEWIS DALTON - Dentist License in Arizona | # 019025602

SCOTT LEWIS DALTON

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025602

License Status

INACTIVE

Business

N

First Name

SCOTT

Middle

LEWIS

Last Name

DALTON

Business Name

SCOTT LEWIS DALTON

Original Issue Date

07/30/2001

Effective Date

07/30/2001

Expiration Date

09/30/2004

State

AZ

Ever Disciplined

N

LastModifiedDate

10/17/2005