DANIEL SUTHERLAN PETTY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016620

License Status

INACTIVE

Business

First Name

DANIEL SUTHERLAN

Last Name

PETTY

Business Name

DANIEL SUTHERLAN PETTY

Original Issue Date

02/05/1979

Effective Date

02/05/1979

Expiration Date

09/30/1990

City

VANCOUVER

State

Zip

98682

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/12/2005