GARY DUANE DIETRICH D D S - Dentist License in South Dakota | # 019014289

GARY DUANE DIETRICH D D S

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014289

License Status

NOT RENEWED

Business

N

First Name

GARY DUANE

Last Name

DIETRICH D D S

Business Name

GARY DUANE DIETRICH D D S

Original Issue Date

07/12/1972

Effective Date

07/12/1972

State

SD

Ever Disciplined

N

LastModifiedDate

10/12/2005