CHARLES WILLIAM MYRNA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010360

License Status

NOT RENEWED

Business

First Name

CHARLES WILLIAM

Last Name

MYRNA

Suffix

DDS

Business Name

CHARLES WILLIAM MYRNA DDS

Original Issue Date

08/10/1953

Effective Date

06/15/2009

Expiration Date

09/30/2012

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

11/14/2012