STEPHEN EDWARD LINE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013397

License Status

INACTIVE

Business

First Name

STEPHEN EDWARD

Last Name

LINE

Suffix

DDS

Business Name

STEPHEN EDWARD LINE DDS

Original Issue Date

07/16/1968

Effective Date

07/16/1968

Expiration Date

09/30/1992

City

TIGARD

State

Zip

97223

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005