ANDREW M YOUNGBLOOD DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022645

License Status

INACTIVE

Business

First Name

ANDREW M

Last Name

YOUNGBLOOD

Suffix

DMD

Business Name

ANDREW M YOUNGBLOOD DMD

Original Issue Date

10/07/1991

Effective Date

10/07/1991

Expiration Date

09/30/1992

City

WILKES BARRE

State

Zip

18702

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/12/2005