LAURENCE I CARLSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012894

License Status

NOT RENEWED

Business

First Name

LAURENCE I

Last Name

CARLSEN

Suffix

DDS

Business Name

LAURENCE I CARLSEN DDS

Original Issue Date

07/29/1966

Effective Date

07/29/1966

Expiration Date

09/30/1984

City

KOKOMO

State

Zip

46901

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005