FRANK C MICEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014110

License Status

NOT RENEWED

Business

First Name

FRANK C

Last Name

MICEK

Suffix

DDS

Business Name

FRANK C MICEK DDS

Original Issue Date

07/08/1971

Effective Date

07/08/1971

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005