KATHLEEN M DURHAM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015932

License Status

NOT RENEWED

Business

Title

DMD

First Name

KATHLEEN

Middle

Last Name

DURHAM

Business Name

KATHLEEN M DURHAM DMD

Original Issue Date

06/23/1977

Effective Date

09/07/2018

Expiration Date

01/31/2022

City

STOCKTON

State

Zip

61085

Ever Disciplined

LastModifiedDate

05/09/2022