WILLIAM MANSFIELD MARTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024937

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

MANSFIELD

Last Name

MARTIN

Business Name

WILLIAM MANSFIELD MARTIN

Original Issue Date

01/25/1999

Effective Date

07/10/2007

Expiration Date

09/30/2009

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/08/2010