FREDERICK WILLIA LINDBLOM DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016728

License Status

INACTIVE

Business

First Name

FREDERICK WILLIA

Last Name

LINDBLOM

Suffix

DDS

Business Name

FREDERICK WILLIA LINDBLOM DDS

Original Issue Date

07/03/1979

Effective Date

07/03/1979

Expiration Date

09/30/1990

City

SAN DIEGO

State

Zip

92115

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005