PAUL WILLIAM MARTIN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010953

License Status

INACTIVE

Business

First Name

PAUL WILLIAM

Last Name

MARTIN

Suffix

DDS

Business Name

PAUL WILLIAM MARTIN DDS

Original Issue Date

08/22/1956

Effective Date

08/22/1956

Expiration Date

09/30/2004

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005