FREDERICK CHARLE BURNHAM - Dentist License in Iowa | # 019018491

FREDERICK CHARLE BURNHAM

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018491

License Status

INACTIVE

Business

N

First Name

FREDERICK CHARLE

Last Name

BURNHAM

Business Name

FREDERICK CHARLE BURNHAM

Original Issue Date

03/23/1983

Effective Date

09/13/2012

Expiration Date

09/30/2015

State

IA

Ever Disciplined

N

LastModifiedDate

06/08/2015