TODD RUSSELL RIDDELL D D S Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014394

License Status

INACTIVE

Business

First Name

TODD RUSSELL

Last Name

RIDDELL D D S

Business Name

TODD RUSSELL RIDDELL D D S

Original Issue Date

07/12/1972

Effective Date

07/12/1972

Expiration Date

09/30/1994

City

SIERRA VISTA

State

Zip

85635

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005