PEDAR BRADEN DIDRIKSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027213

License Status

NOT RENEWED

Business

First Name

PEDAR

Middle

BRADEN

Last Name

DIDRIKSEN

Business Name

PEDAR BRADEN DIDRIKSEN

Original Issue Date

09/07/2006

Effective Date

09/07/2006

Expiration Date

09/30/2009

City

CEDAR FALLS

State

Zip

50613

County

IOWA

Ever Disciplined

LastModifiedDate

01/08/2010