BETHANY A DOUGLAS
Dentist at Wentworth Ave, Jacksonville, FL

License number
Florida 19093
Issued Date
Jun 22, 2010
Effective Date
Jun 22, 2010
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental
Address
Address
1421 Wentworth Ave, Jacksonville, FL 32259
Phone
(904) 671-1379
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

See more information about BETHANY A DOUGLAS at radaris.com
Name
Address
Phone
Bethany C Douglas, age 39
3 Buttercup Pl, Palm Coast, FL 32137
(386) 246-9153
Bethany Douglas, age 61
4 Bakke St, Hurlburt Field, FL 32544
(850) 581-2545

Organization information

See more information about BETHANY A DOUGLAS at bizstanding.com

BETHANY A. DOUGLAS, D.M.D., PA

6371 Autumn Berry Cir, Jacksonville, FL 32258

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Jun 9, 2011
Inactive since:
Feb 14, 2013
State ID:
P11000054210
Business type:
Florida Profit Corporation
Director, President, Secretary, Treasurers:
Bethany A Douglas President, inactive, 6371 Autumn Berry Cir, Jacksonville, FL 32258 (Physical),Bethany A. Loushine Director, President, Secretary, Treasurer, inactive
Agent:
Bethany Douglas,6371 Autumn Berry Cir, Jacksonville, FL 32258 (Physical)
EIN:
452513714

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