SAM EDWARD FARISH DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023507

License Status

INACTIVE

Business

First Name

SAM EDWARD

Last Name

FARISH

Suffix

DMD

Business Name

SAM EDWARD FARISH DMD

Original Issue Date

02/01/1994

Effective Date

02/01/1994

Expiration Date

09/30/1996

City

DECATUR

State

Zip

30033

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/12/2005