TERESA LYNETTE SAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017366

License Status

NOT RENEWED

Business

First Name

TERESA LYNETTE

Last Name

SAM

Suffix

DDS

Business Name

TERESA LYNETTE SAM DDS

Original Issue Date

07/28/1980

Effective Date

07/28/1980

Expiration Date

09/30/1988

City

SHERMAN OAKS

State

Zip

91423

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005