EDWARD PETER THEISS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012587

License Status

NOT RENEWED

Business

First Name

EDWARD PETER

Last Name

THEISS

Suffix

DDS

Business Name

EDWARD PETER THEISS DDS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

Expiration Date

09/30/1984

City

BOULDER

State

Zip

80302

County

COLORADO

Ever Disciplined

LastModifiedDate

10/12/2005