TERRY MARTIN WOITH DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015984

License Status

INACTIVE

Business

First Name

TERRY MARTIN

Last Name

WOITH

Suffix

DMD

Business Name

TERRY MARTIN WOITH DMD

Original Issue Date

06/27/1977

Effective Date

06/27/1977

Expiration Date

09/30/1994

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1982000062

Action

Suspension

Discipline Start Date

07/01/1984

Discipline End Date

06/26/1986