DAVID L SAMUELSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016169

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

SAMUELSON

Suffix

DDS

Business Name

DAVID L SAMUELSON DDS

Original Issue Date

10/25/1977

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

05/09/2022