GEORGE EDWARD BASSFORD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019007432

License Status

INACTIVE

Business

First Name

GEORGE EDWARD

Last Name

BASSFORD

Business Name

GEORGE EDWARD BASSFORD

Original Issue Date

09/12/1936

Effective Date

09/12/1936

Expiration Date

09/30/1994

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005