HAROLD GORDON HILLAM DDS - Dentist License in Idaho | # 019012489

HAROLD GORDON HILLAM DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012489

License Status

INACTIVE

Business

N

First Name

HAROLD GORDON

Last Name

HILLAM

Suffix

DDS

Business Name

HAROLD GORDON HILLAM DDS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

Expiration Date

09/30/1990

State

ID

Ever Disciplined

N

LastModifiedDate

10/12/2005