RANDALL EDMUND ROOT DDS - Dentist License in Michigan | # 019016101

RANDALL EDMUND ROOT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016101

License Status

NOT RENEWED

Business

N

First Name

RANDALL EDMUND

Last Name

ROOT

Suffix

DDS

Business Name

RANDALL EDMUND ROOT DDS

Original Issue Date

07/26/1977

Effective Date

07/26/1977

Expiration Date

09/30/1988

State

MI

Ever Disciplined

N

LastModifiedDate

10/12/2005