HAROLD LEE MARTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010832

License Status

NOT RENEWED

Business

First Name

HAROLD LEE

Last Name

MARTIN

Business Name

HAROLD LEE MARTIN

Original Issue Date

12/08/1955

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

02/08/2016