SCOTT LEWIS DALTON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025602

License Status

INACTIVE

Business

First Name

SCOTT

Middle

LEWIS

Last Name

DALTON

Business Name

SCOTT LEWIS DALTON

Original Issue Date

07/30/2001

Effective Date

07/30/2001

Expiration Date

09/30/2004

City

GLENDALE

State

Zip

85308

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005