RALPH DONALD CARLSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012895

License Status

INACTIVE

Business

First Name

RALPH DONALD

Last Name

CARLSON

Suffix

DDS

Business Name

RALPH DONALD CARLSON DDS

Original Issue Date

07/29/1966

Effective Date

07/29/1966

Expiration Date

09/30/1998

City

TUCSON

State

Zip

85748

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005