LLYNDALL RHETT FAGG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018505

License Status

NOT RENEWED

Business

First Name

LLYNDALL RHETT

Last Name

FAGG

Business Name

LLYNDALL RHETT FAGG

Original Issue Date

05/02/1983

Effective Date

06/30/2015

Expiration Date

09/30/2018

City

NASHVILLE

State

Zip

47448

County

INDIANA

Ever Disciplined

LastModifiedDate

10/31/2018