ALLEN P KVIDERA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001592

License Status

INACTIVE

Business

First Name

ALLEN P

Last Name

KVIDERA

Business Name

ALLEN P KVIDERA

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

09/30/2002

City

DAVENPORT

State

Zip

52807

County

IOWA

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/17/2005