JOHN RODERICK CHISHOLM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012193

License Status

NOT RENEWED

Business

First Name

JOHN RODERICK

Last Name

CHISHOLM

Suffix

DDS

Business Name

JOHN RODERICK CHISHOLM DDS

Original Issue Date

12/28/1962

Effective Date

12/28/1962

Expiration Date

09/30/1984

City

LARAMIE

State

Zip

82070

County

WYOMING

Ever Disciplined

LastModifiedDate

10/12/2005