KJERSTEN ANN OTTERHOLT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029500

License Status

NOT RENEWED

Business

First Name

KJERSTEN

Middle

ANN

Last Name

OTTERHOLT

Business Name

KJERSTEN ANN OTTERHOLT

Original Issue Date

07/03/2013

Effective Date

07/03/2013

Expiration Date

09/30/2015

City

MOUNT VERNON

State

Zip

98273

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

02/08/2016