MAUON SIMMOND LEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016483

License Status

NOT RENEWED

Business

First Name

MAUON SIMMOND

Last Name

LEE

Suffix

DDS

Business Name

MAUON SIMMOND LEE DDS

Original Issue Date

07/21/1978

Effective Date

07/21/1978

Expiration Date

09/30/1986

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005