THEODORE HOWARD CENTURY DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000304

License Status

INACTIVE

Business

First Name

THEODORE HOWARD

Last Name

CENTURY

Suffix

DDS

Business Name

THEODORE HOWARD CENTURY DDS

Original Issue Date

12/16/1960

Effective Date

12/16/1960

Expiration Date

09/30/1992

City

BOISE

State

Zip

83703

County

IDAHO

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/13/2005