JERRY THOMAS WASHBURN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011376

License Status

NOT RENEWED

Business

First Name

JERRY THOMAS

Last Name

WASHBURN

Suffix

DDS

Business Name

JERRY THOMAS WASHBURN DDS

Original Issue Date

08/25/1958

Effective Date

08/25/1958

Expiration Date

09/30/1994

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/12/2005