LAURENCE I CARLSEN DDS - Dentist License in Indiana | # 019012894

LAURENCE I CARLSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012894

License Status

NOT RENEWED

Business

N

First Name

LAURENCE I

Last Name

CARLSEN

Suffix

DDS

Business Name

LAURENCE I CARLSEN DDS

Original Issue Date

07/29/1966

Effective Date

07/29/1966

Expiration Date

09/30/1984

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005