BRADLEY B LARSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016128

License Status

NOT RENEWED

Business

First Name

BRADLEY B

Last Name

LARSEN

Suffix

DDS

Business Name

BRADLEY B LARSEN DDS

Original Issue Date

08/30/1977

Effective Date

08/30/1977

Expiration Date

09/30/1984

City

KELSO

State

Zip

98626

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/12/2005