DEREK WEIGAND Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034057

License Status

ACTIVE

Business

First Name

DEREK

Last Name

WEIGAND

Business Name

DEREK WEIGAND

Original Issue Date

01/20/2023

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

FARGO

State

Zip

58104

Ever Disciplined

LastModifiedDate

08/05/2024