JOHN WILLIAM ETZENBACH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001203

License Status

INACTIVE

Business

First Name

JOHN WILLIAM

Last Name

ETZENBACH

Business Name

JOHN WILLIAM ETZENBACH

Original Issue Date

09/21/1984

Effective Date

09/21/1984

Expiration Date

09/30/2006

City

APO

State

Zip

09244

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

07/24/2006