CHARLES EDWARD FULTZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019545

License Status

NOT RENEWED

Business

First Name

CHARLES EDWARD

Last Name

FULTZ

Business Name

CHARLES EDWARD FULTZ

Original Issue Date

06/20/1985

Effective Date

06/20/1985

Expiration Date

09/30/1986

City

FORT SMITH

State

Zip

72913

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005