TAYLOR PAUL ERICKSEN DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030302

License Status

INACTIVE

Business

Title

DMD

First Name

TAYLOR

Middle

PAUL

Last Name

ERICKSEN

Business Name

TAYLOR PAUL ERICKSEN DMD

Original Issue Date

07/16/2015

Effective Date

07/16/2015

Expiration Date

09/30/2018

City

BOUNTIFUL

State

Zip

84010

County

UTAH

Ever Disciplined

LastModifiedDate

06/07/2018