BLAIR CLYBURN MADSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019006896

License Status

NOT RENEWED

Business

First Name

BLAIR CLYBURN

Last Name

MADSEN

Suffix

DDS

Business Name

BLAIR CLYBURN MADSEN DDS

Original Issue Date

12/09/1933

Effective Date

12/09/1933

City

MIAMI

State

Zip

33131

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005