NORMAN VINCENT PALM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015143

License Status

NOT RENEWED

Business

First Name

NORMAN VINCENT

Last Name

PALM

Suffix

DDS

Business Name

NORMAN VINCENT PALM DDS

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1984

City

GRAND RAPIDS

State

Zip

49505

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005