Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****50

NOT RENEWED

N

OLLENDORF T

UDARBE

DMD

OLLENDORF T UDARBE DMD

03/26/1990

03/26/1990

09/30/1996

LAKE OSWEGO

OR

97035

OREGON

II III IV V

N

10/13/2005