PATRICIA WYNNE TUCKER DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024148

License Status

INACTIVE

Business

First Name

PATRICIA WYNNE

Last Name

TUCKER

Suffix

DMD

Business Name

PATRICIA WYNNE TUCKER DMD

Original Issue Date

05/02/1996

Effective Date

05/02/1996

Expiration Date

09/30/2004

City

LOUISVILLE

State

Zip

40207

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/17/2005