FRED LEE WHITLATCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018174

License Status

NOT RENEWED

Business

First Name

FRED LEE

Last Name

WHITLATCH

Business Name

FRED LEE WHITLATCH

Original Issue Date

07/16/1982

Effective Date

06/25/2012

Expiration Date

09/30/2015

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

02/08/2016