LARRY L BORTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014525

License Status

NOT RENEWED

Business

First Name

LARRY L

Last Name

BORTH

Suffix

DDS

Business Name

LARRY L BORTH DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/1998

City

WENTZVILLE

State

Zip

63385

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005