ROBERT AUSTIN LORDAHL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000518

License Status

INACTIVE

Business

First Name

ROBERT AUSTIN

Last Name

LORDAHL

Suffix

DDS

Business Name

ROBERT AUSTIN LORDAHL DDS

Original Issue Date

11/18/1966

Effective Date

11/18/1966

Expiration Date

09/30/1990

City

TACOMA

State

Zip

98499

County

WASHINGTON

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005