BO MARTIN DAVIDSON Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001695

License Status

EXPIRED

Business

First Name

Middle

MARTIN

Last Name

DAVIDSON

Business Name

BO MARTIN DAVIDSON

Original Issue Date

06/24/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

LACEY

State

Zip

98516

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018