MARLO GENE PRUGH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012984

License Status

NOT RENEWED

Business

First Name

MARLO GENE

Last Name

PRUGH

Suffix

DDS

Business Name

MARLO GENE PRUGH DDS

Original Issue Date

07/29/1966

Effective Date

07/29/1966

Expiration Date

09/30/1996

City

CASPER

State

Zip

82601

County

WYOMING

Ever Disciplined

LastModifiedDate

10/12/2005