RUSSELL GODFREY ROSENQUIST Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010686

License Status

INACTIVE

Business

First Name

RUSSELL GODFREY

Last Name

ROSENQUIST

Business Name

RUSSELL GODFREY ROSENQUIST

Original Issue Date

08/09/1955

Effective Date

08/09/1955

Expiration Date

09/30/1998

City

SCOTTSDALE

State

Zip

85262

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005