WALTER A LICHOTA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011823

License Status

INACTIVE

Business

First Name

WALTER A

Last Name

LICHOTA

Suffix

DDS

Business Name

WALTER A LICHOTA DDS

Original Issue Date

11/21/1960

Effective Date

11/21/1960

Expiration Date

09/30/1996

City

KAILUA

State

Zip

96734

County

HAWAII

Ever Disciplined

LastModifiedDate

10/12/2005