CHARLES H PAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019257

License Status

INACTIVE

Business

First Name

CHARLES H

Last Name

PAN

Business Name

CHARLES H PAN

Original Issue Date

08/23/1984

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

KENT

State

Zip

98032

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

06/04/2009