JUSTIN LOUIS RIDER DDS - Dentist License in Arizona | # 019027934

JUSTIN LOUIS RIDER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027934

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

JUSTIN

Middle

LOUIS

Last Name

RIDER

Business Name

JUSTIN LOUIS RIDER DDS

Original Issue Date

05/15/2009

Effective Date

08/15/2012

Expiration Date

09/30/2015

State

AZ

Ever Disciplined

N

LastModifiedDate

02/08/2016