ROBERTA A COLWELL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002337

License Status

INACTIVE

Business

First Name

ROBERTA A

Last Name

COLWELL

Business Name

ROBERTA A COLWELL

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1992

City

BOISE

State

Zip

83706

County

IDAHO

Ever Disciplined

LastModifiedDate

10/12/2005