MARY M VICKERMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020815

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

VICKERMAN

Suffix

DMD

Business Name

MARY M VICKERMAN DMD

Original Issue Date

09/05/1987

Effective Date

09/05/1987

Expiration Date

09/30/2002

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005