ROBERTA A COLWELL - Dentist License in Idaho | # 020002337

ROBERTA A COLWELL

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002337

License Status

INACTIVE

Business

N

First Name

ROBERTA A

Last Name

COLWELL

Business Name

ROBERTA A COLWELL

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1992

State

ID

Ever Disciplined

N

LastModifiedDate

10/12/2005