CARL WESLEY LUSBY JR - Dentist License in Wisconsin | # 019010216

CARL WESLEY LUSBY JR

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010216

License Status

NOT RENEWED

Business

N

First Name

CARL WESLEY

Last Name

LUSBY JR

Business Name

CARL WESLEY LUSBY JR

Original Issue Date

12/02/1952

Effective Date

12/02/1952

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005