TERRY E CHIPMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013571

License Status

NOT RENEWED

Business

First Name

TERRY E

Last Name

CHIPMAN

Suffix

DDS

Business Name

TERRY E CHIPMAN DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1984

City

KEARNS

State

Zip

84118

County

UTAH

Ever Disciplined

LastModifiedDate

10/12/2005