MARILYN SUSAN LANTZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015985

License Status

NOT RENEWED

Business

First Name

MARILYN SUSAN

Last Name

LANTZ

Business Name

MARILYN SUSAN LANTZ

Original Issue Date

06/27/1977

Effective Date

06/27/1977

Expiration Date

09/30/1988

City

BIRMINGHAM

State

Zip

35294

County

ALABAMA

Ever Disciplined

LastModifiedDate

10/12/2005