EDWIN J NIEUSMA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009805

License Status

NOT RENEWED

Business

First Name

EDWIN J

Last Name

NIEUSMA

Suffix

DDS

Business Name

EDWIN J NIEUSMA DDS

Original Issue Date

11/01/1950

Effective Date

11/01/1950

City

HOLLAND

State

Zip

49423

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005