THERESA A MADDEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022627

License Status

INACTIVE

Business

First Name

THERESA A

Last Name

MADDEN

Suffix

DDS

Business Name

THERESA A MADDEN DDS

Original Issue Date

09/26/1991

Effective Date

09/26/1991

Expiration Date

09/30/1992

City

PORTLAND

State

Zip

97201

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005