ERIC J COONTZ DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001132

License Status

INACTIVE

Business

First Name

ERIC

Middle

Last Name

COONTZ

Suffix

DDS

Business Name

ERIC J COONTZ DDS

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/2006

City

GALLUP

State

Zip

87301

County

NEW MEXICO

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

07/24/2006