LESLIE DAVID BURBIDGE JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012463

License Status

NOT RENEWED

Business

First Name

LESLIE DAVID

Last Name

BURBIDGE JR

Suffix

DDS

Business Name

LESLIE DAVID BURBIDGE JR DDS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

Expiration Date

09/30/1986

City

CEDAR CITY

State

Zip

84720

County

UTAH

Ever Disciplined

LastModifiedDate

10/12/2005