MATTHEW ISAAC ENZER DDS - Dentist License in Indiana | # 021000421

MATTHEW ISAAC ENZER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000421

License Status

NOT RENEWED

Business

N

First Name

MATTHEW ISAAC

Last Name

ENZER

Suffix

DDS

Business Name

MATTHEW ISAAC ENZER DDS

Original Issue Date

11/22/1963

Effective Date

11/22/1963

Expiration Date

09/30/1996

State

IN

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005