KENNETH R GOLJAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012057

License Status

INACTIVE

Business

First Name

KENNETH R

Last Name

GOLJAN

Suffix

DDS

Business Name

KENNETH R GOLJAN DDS

Original Issue Date

08/01/1962

Effective Date

08/01/1962

Expiration Date

09/30/2004

City

TULSA

State

Zip

74137

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/17/2005