GEORGE LANE MARQUARDT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010723

License Status

INACTIVE

Business

First Name

GEORGE LANE

Last Name

MARQUARDT

Business Name

GEORGE LANE MARQUARDT

Original Issue Date

08/11/1955

Effective Date

08/11/1955

Expiration Date

09/30/1992

City

MEDFORD

State

Zip

97504

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005