PERRY WILSON BASCOM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015036

License Status

NOT RENEWED

Business

First Name

PERRY WILSON

Last Name

BASCOM

Suffix

DDS

Business Name

PERRY WILSON BASCOM DDS

Original Issue Date

08/13/1974

Effective Date

08/13/1974

City

DENVER

State

Zip

80206

County

COLORADO

Ever Disciplined

LastModifiedDate

10/12/2005