EDMUND R RUDNICKE II DDS - Dentist License in Tennessee | # 019014151

EDMUND R RUDNICKE II DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014151

License Status

INACTIVE

Business

N

Title

DDS

First Name

EDMUND

Middle

R

Last Name

RUDNICKE

Suffix

II

Business Name

EDMUND R RUDNICKE II DDS

Original Issue Date

07/08/1971

Effective Date

06/04/2009

Expiration Date

09/30/2012

State

TN

Ever Disciplined

N

LastModifiedDate

06/06/2012