KJERSTEN ANN OTTERHOLT - Dentist License in Washington | # 019029500

KJERSTEN ANN OTTERHOLT

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029500

License Status

NOT RENEWED

Business

N

First Name

KJERSTEN

Middle

ANN

Last Name

OTTERHOLT

Business Name

KJERSTEN ANN OTTERHOLT

Original Issue Date

07/03/2013

Effective Date

07/03/2013

Expiration Date

09/30/2015

State

WA

Ever Disciplined

N

LastModifiedDate

02/08/2016