RANDY M WIDEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013704

License Status

INACTIVE

Business

First Name

RANDY M

Last Name

WIDEN

Suffix

DDS

Business Name

RANDY M WIDEN DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1990

City

WASHINGTON

State

Zip

20009

County

DISTRICT OF COLUMBIA

Ever Disciplined

LastModifiedDate

10/12/2005