BENNETT KLAVAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000217

License Status

INACTIVE

Business

First Name

BENNETT

Last Name

KLAVAN

Business Name

BENNETT KLAVAN

Original Issue Date

12/03/1953

Effective Date

12/03/1953

Expiration Date

09/30/1990

City

SUN CITY WEST

State

Zip

85375

County

ARIZONA

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/13/2005