GEORGE EDWARD BURBACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012423

License Status

NOT RENEWED

Business

First Name

GEORGE EDWARD

Last Name

BURBACH

Suffix

DDS

Business Name

GEORGE EDWARD BURBACH DDS

Original Issue Date

01/06/1964

Effective Date

01/06/1964

Expiration Date

09/30/1984

City

TEMPE

State

Zip

85283

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005