DONALD JEROME LANAHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018420

License Status

NOT RENEWED

Business

First Name

DONALD JEROME

Last Name

LANAHAN

Business Name

DONALD JEROME LANAHAN

Original Issue Date

10/05/1982

Effective Date

10/05/1982

Expiration Date

09/30/1988

City

GRANTS PASS

State

Zip

97526

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005