BENNETT KLAVAN - Dentist License in Arizona | # 021000217

BENNETT KLAVAN

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000217

License Status

INACTIVE

Business

N

First Name

BENNETT

Last Name

KLAVAN

Business Name

BENNETT KLAVAN

Original Issue Date

12/03/1953

Effective Date

12/03/1953

Expiration Date

09/30/1990

State

AZ

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005