RANDY M WIDEN DDS - Dentist License in District of Columbia | # 019013704

RANDY M WIDEN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013704

License Status

INACTIVE

Business

N

First Name

RANDY M

Last Name

WIDEN

Suffix

DDS

Business Name

RANDY M WIDEN DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1990

State

DC

Ever Disciplined

N

LastModifiedDate

10/12/2005