ROBERT LEE LARSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011603

License Status

NOT RENEWED

Business

First Name

ROBERT LEE

Last Name

LARSEN

Business Name

ROBERT LEE LARSEN

Original Issue Date

09/14/1959

Effective Date

09/14/1959

City

COLORADO SPRINGS

State

Zip

80909

County

COLORADO

Ever Disciplined

LastModifiedDate

10/12/2005