WALTER BLAKE MADDOX - Dentist License in Missouri | # 019005931

WALTER BLAKE MADDOX

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019005931

License Status

NOT RENEWED

Business

N

First Name

WALTER BLAKE

Last Name

MADDOX

Business Name

WALTER BLAKE MADDOX

Original Issue Date

10/10/1929

Effective Date

10/10/1929

State

MO

Ever Disciplined

N

LastModifiedDate

10/12/2005