KYLE E PEDERSEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001694

License Status

INACTIVE

Business

First Name

KYLE

Middle

Last Name

PEDERSEN

Suffix

DDS

Business Name

KYLE E PEDERSEN DDS

Original Issue Date

09/06/1994

Effective Date

06/13/2018

Expiration Date

12/31/2021

City

VERADALE

State

Zip

99037

County

WASHINGTON STATE

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

09/11/2021