JOHN WESLEY SKINNER JR , DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012403

License Status

NOT RENEWED

Business

First Name

JOHN WESLEY

Last Name

SKINNER JR ,

Suffix

DDS

Business Name

JOHN WESLEY SKINNER JR , DDS

Original Issue Date

11/22/1963

Effective Date

11/22/1963

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005