CARLYLE MICKELSO MUNK DDS - Dentist License in Utah | # 019010028

CARLYLE MICKELSO MUNK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010028

License Status

NOT RENEWED

Business

N

First Name

CARLYLE MICKELSO

Last Name

MUNK

Suffix

DDS

Business Name

CARLYLE MICKELSO MUNK DDS

Original Issue Date

12/27/1951

Effective Date

12/27/1951

Expiration Date

09/30/1986

State

UT

Ever Disciplined

N

LastModifiedDate

10/12/2005