PAGE L COLLYMORE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029809

License Status

NOT RENEWED

Business

Title

DMD

First Name

PAGE

Middle

Last Name

COLLYMORE

Business Name

PAGE L COLLYMORE DMD

Original Issue Date

06/09/2014

Effective Date

06/18/2015

Expiration Date

09/30/2018

City

VIENNA

State

Zip

22182

Ever Disciplined

LastModifiedDate

10/31/2018