FRED WALTER SCHOMBURG DDS - Dentist License in Washington | # 021000828

FRED WALTER SCHOMBURG DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000828

License Status

INACTIVE

Business

N

First Name

FRED WALTER

Last Name

SCHOMBURG

Suffix

DDS

Business Name

FRED WALTER SCHOMBURG DDS

Original Issue Date

01/14/1975

Effective Date

01/14/1975

Expiration Date

09/30/1992

State

WA

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005