RICHARD DEAN BAZZETTA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011518

License Status

INACTIVE

Business

First Name

RICHARD DEAN

Last Name

BAZZETTA

Suffix

DDS

Business Name

RICHARD DEAN BAZZETTA DDS

Original Issue Date

08/06/1959

Effective Date

08/06/1959

Expiration Date

09/30/1994

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/12/2005