OLLENDORF T UDARBE DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021916

License Status

INACTIVE

Business

First Name

OLLENDORF T

Last Name

UDARBE

Suffix

DMD

Business Name

OLLENDORF T UDARBE DMD

Original Issue Date

02/04/1990

Effective Date

02/04/1990

Expiration Date

09/30/1996

City

LAKE OSWEGO

State

Zip

97035

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005