CORLISS A STROUD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007570

License Status

NOT RENEWED

Business

First Name

CORLISS A

Last Name

STROUD

Business Name

CORLISS A STROUD

Original Issue Date

10/08/1991

Effective Date

08/20/2009

Expiration Date

09/30/2012

City

ENGLEWOOD

State

Zip

80113

County

COLORADO

Ever Disciplined

LastModifiedDate

11/14/2012