LYNETTE C FORTENBERRY DMD - Dentist License in District of Columbia | # 019024964

LYNETTE C FORTENBERRY DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024964

License Status

INACTIVE

Business

N

First Name

LYNETTE

Middle

C

Last Name

FORTENBERRY

Suffix

DMD

Business Name

LYNETTE C FORTENBERRY DMD

Original Issue Date

03/17/1999

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

DC

Ever Disciplined

N

LastModifiedDate

06/04/2009