OTIS GIRARDEAU Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018779

License Status

NOT RENEWED

Business

First Name

OTIS

Last Name

GIRARDEAU

Business Name

OTIS GIRARDEAU

Original Issue Date

08/25/1983

Effective Date

08/25/1983

Expiration Date

09/30/1984

City

JACKSONVILLE

State

Zip

32208

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005