DANIEL DAVID HISEROTE JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029557

License Status

NOT RENEWED

Business

Title

DDS

First Name

DANIEL

Middle

DAVID

Last Name

HISEROTE

Suffix

Business Name

DANIEL DAVID HISEROTE JR DDS

Original Issue Date

07/18/2013

Effective Date

07/18/2013

Expiration Date

09/30/2015

City

SERGEANT BLUFF

State

Zip

51054

County

IOWA

Ever Disciplined

LastModifiedDate

02/08/2016