G FRED SIERSMA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013765

License Status

NOT RENEWED

Business

First Name

G FRED

Last Name

SIERSMA

Suffix

DDS

Business Name

G FRED SIERSMA DDS

Original Issue Date

12/08/1969

Effective Date

07/24/2009

Expiration Date

09/30/2012

City

DENVER

State

Zip

80209

County

COLORADO

Ever Disciplined

LastModifiedDate

11/14/2012