JACK BAKER BURRELL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008756

License Status

INACTIVE

Business

First Name

JACK BAKER

Last Name

BURRELL

Suffix

DDS

Business Name

JACK BAKER BURRELL DDS

Original Issue Date

02/19/1945

Effective Date

02/19/1945

Expiration Date

09/30/1998

City

SUN CITY WEST

State

Zip

85375

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005