KYLE E PEDERSEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023164

License Status

INACTIVE

Business

First Name

KYLE

Middle

Last Name

PEDERSEN

Suffix

DDS

Business Name

KYLE E PEDERSEN DDS

Original Issue Date

02/24/1993

Effective Date

06/13/2018

Expiration Date

12/31/2021

City

VERADALE

State

Zip

99037

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

09/11/2021