THOMAS REED DIRKSEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011202

License Status

INACTIVE

Business

First Name

THOMAS REED

Last Name

DIRKSEN

Suffix

DDS

Business Name

THOMAS REED DIRKSEN DDS

Original Issue Date

10/09/1957

Effective Date

10/09/1957

Expiration Date

09/30/1990

City

AUGUSTA

State

Zip

30902

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/12/2005