NILES WALTER HERROD DDS - Dentist License in Utah | # 019012250

NILES WALTER HERROD DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012250

License Status

INACTIVE

Business

N

First Name

NILES WALTER

Last Name

HERROD

Suffix

DDS

Business Name

NILES WALTER HERROD DDS

Original Issue Date

07/25/1963

Effective Date

07/25/1963

Expiration Date

09/30/1990

State

UT

Ever Disciplined

N

LastModifiedDate

10/12/2005