SIGURDS OTTO KROLLS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011163

License Status

INACTIVE

Business

First Name

SIGURDS OTTO

Last Name

KROLLS

Suffix

DDS

Business Name

SIGURDS OTTO KROLLS DDS

Original Issue Date

09/03/1957

Effective Date

09/03/1957

Expiration Date

09/30/1996

City

MADISON

State

Zip

39110

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

10/12/2005