FRED WALTER SCHOMBURG DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000828

License Status

INACTIVE

Business

First Name

FRED WALTER

Last Name

SCHOMBURG

Suffix

DDS

Business Name

FRED WALTER SCHOMBURG DDS

Original Issue Date

01/14/1975

Effective Date

01/14/1975

Expiration Date

09/30/1992

City

SEQUOIA

State

Zip

98382

County

WASHINGTON

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005