SHERWOOD SAMUEL TUCKER DDS - Dentist License in New Mexico | # 019014423

SHERWOOD SAMUEL TUCKER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014423

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

SHERWOOD

Middle

SAMUEL

Last Name

TUCKER

Business Name

SHERWOOD SAMUEL TUCKER DDS

Original Issue Date

07/12/1972

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

NM

Ever Disciplined

N

LastModifiedDate

01/08/2010