RANDALL EDMUND ROOT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000945

License Status

NOT RENEWED

Business

First Name

RANDALL EDMUND

Last Name

ROOT

Suffix

DDS

Business Name

RANDALL EDMUND ROOT DDS

Original Issue Date

01/19/1978

Effective Date

01/19/1978

Expiration Date

09/30/1988

City

WEST BLOOMFIELD

State

Zip

48033

County

MICHIGAN

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005