BRUCE LYNN BOSWORTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001718

License Status

NOT RENEWED

Business

First Name

BRUCE LYNN

Last Name

BOSWORTH

Suffix

DDS

Business Name

BRUCE LYNN BOSWORTH DDS

Original Issue Date

10/01/1994

Effective Date

10/01/1994

Expiration Date

09/30/1996

City

CORONADO

State

Zip

92118

County

CALIFORNIA

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/13/2005