JUSTIN LOUIS RIDER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027934

License Status

NOT RENEWED

Business

Title

DDS

First Name

JUSTIN

Middle

LOUIS

Last Name

RIDER

Business Name

JUSTIN LOUIS RIDER DDS

Original Issue Date

05/15/2009

Effective Date

08/15/2012

Expiration Date

09/30/2015

City

TUCSON

State

Zip

85710

County

ARIZONA

Ever Disciplined

LastModifiedDate

02/08/2016