WAYNE E SVOBODA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000206

License Status

INACTIVE

Business

First Name

WAYNE E

Last Name

SVOBODA

Suffix

DDS

Business Name

WAYNE E SVOBODA DDS

Original Issue Date

02/15/1990

Effective Date

07/19/2012

Expiration Date

09/30/2015

City

FEDERAL WAY

State

Zip

98003

County

WASHINGTON STATE

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

06/08/2015