Ohio
Board of Licensing
SAM OH
Dental Board - 30.Dentist
License number
30.021182
Date granted
06/14/1999
Date expires
12/31/2011
Class
Dental Board - 30.Dentist
Status
Retired
ohiolicensing.org
ID 28702118
LAST UPDATED 2026-06-07 00:04:50 UTC
LAST UPDATED 2026-06-07 00:04:50 UTC