BANGORN S TERRY DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024025

License Status

INACTIVE

Business

First Name

BANGORN S

Last Name

TERRY

Suffix

DMD

Business Name

BANGORN S TERRY DMD

Original Issue Date

11/07/1995

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

SAN ANTONIO

State

Zip

78258

County

TEXAS

Ever Disciplined

LastModifiedDate

06/04/2009