LYNETTE C FORTENBERRY DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024964

License Status

INACTIVE

Business

First Name

LYNETTE

Middle

Last Name

FORTENBERRY

Suffix

DMD

Business Name

LYNETTE C FORTENBERRY DMD

Original Issue Date

03/17/1999

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

WASHINGTON

State

Zip

20019

County

DISTRICT OF COLUMBIA

Ever Disciplined

LastModifiedDate

06/04/2009