N W BLUM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019001465

License Status

NOT RENEWED

Business

First Name

N W

Last Name

BLUM

Suffix

DDS

Business Name

N W BLUM DDS

Original Issue Date

01/01/1998

City

LINCOLN

State

County

LOGAN

Ever Disciplined

LastModifiedDate

10/12/2005