DAVID MATTHEW FAIRCHILD - Dentist License in Indiana | # 019018945

DAVID MATTHEW FAIRCHILD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018945

License Status

NOT RENEWED

Business

N

First Name

DAVID MATTHEW

Last Name

FAIRCHILD

Business Name

DAVID MATTHEW FAIRCHILD

Original Issue Date

01/17/1984

Effective Date

01/17/1984

Expiration Date

09/30/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005