WALTER ANTHONY MAUCK JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017237

License Status

INACTIVE

Business

First Name

WALTER ANTHONY

Last Name

MAUCK JR

Suffix

DDS

Business Name

WALTER ANTHONY MAUCK JR DDS

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

09/30/1996

City

LOUISVILLE

State

Zip

40241

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/12/2005