MICHAEL TERRY KIRKWOOD DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011899

License Status

INACTIVE

Business

First Name

MICHAEL TERRY

Last Name

KIRKWOOD

Suffix

DDS

Business Name

MICHAEL TERRY KIRKWOOD DDS

Original Issue Date

07/31/1961

Effective Date

07/31/1961

Expiration Date

09/30/1998

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

10/12/2005