P JACK FELLER II DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016099

License Status

NOT RENEWED

Business

First Name

P JACK

Last Name

FELLER II

Suffix

DDS

Business Name

P JACK FELLER II DDS

Original Issue Date

07/26/1977

Effective Date

07/26/1977

Expiration Date

09/30/1984

City

ROCK SPRINGS

State

Zip

82901

County

WYOMING

Ever Disciplined

LastModifiedDate

10/12/2005