THEODORE A KIERSCH DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013855

License Status

INACTIVE

Business

First Name

THEODORE A

Last Name

KIERSCH

Suffix

DDS

Business Name

THEODORE A KIERSCH DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

Expiration Date

09/30/1990

City

TUCSON

State

Zip

85711

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005