DANIEL PHILIP URBAN DDS - Dentist License in Indiana | # 019011284

DANIEL PHILIP URBAN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011284

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

PHILIP

Last Name

URBAN

Suffix

DDS

Business Name

DANIEL PHILIP URBAN DDS

Original Issue Date

08/11/1958

Effective Date

07/30/2009

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2012