WALTER J JACOBSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008997

License Status

NOT RENEWED

Business

First Name

WALTER J

Last Name

JACOBSEN

Suffix

DDS

Business Name

WALTER J JACOBSEN DDS

Original Issue Date

03/14/1946

Effective Date

03/14/1946

City

KANSAS CITY

State

Zip

64109

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005