KIM E DIEFENDERFER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019880

License Status

NOT RENEWED

Business

First Name

KIM E

Last Name

DIEFENDERFER

Business Name

KIM E DIEFENDERFER

Original Issue Date

10/09/1985

Effective Date

10/09/1985

Expiration Date

09/30/1990

City

FPO

State

Zip

98765

Ever Disciplined

LastModifiedDate

10/12/2005