PATRICIA WYNNE TUCKER DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000428

License Status

INACTIVE

Business

First Name

PATRICIA WYNNE

Last Name

TUCKER

Suffix

DMD

Business Name

PATRICIA WYNNE TUCKER DMD

Original Issue Date

05/05/1997

Effective Date

05/05/1997

Expiration Date

09/30/1998

City

LOUISVILLE

State

Zip

40216

County

KENTUCKY

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005