STEVEN DONALD GUSTAFSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019263

License Status

NOT RENEWED

Business

First Name

STEVEN DONALD

Last Name

GUSTAFSON

Business Name

STEVEN DONALD GUSTAFSON

Original Issue Date

08/29/1984

Effective Date

08/29/1984

Expiration Date

09/30/1988

City

ROCHESTER

State

Zip

48063

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005