TODD A MATHISON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000342

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

MATHISON

Business Name

TODD A MATHISON

Original Issue Date

06/06/1989

Effective Date

06/06/1989

Expiration Date

06/30/1991

City

DULUTH

State

Zip

55802

County

MINNESOTA

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005