DANIEL K MARTISIUS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020846

License Status

INACTIVE

Business

First Name

DANIEL K

Last Name

MARTISIUS

Business Name

DANIEL K MARTISIUS

Original Issue Date

09/25/1987

Effective Date

09/25/1987

Expiration Date

09/30/1996

City

MONROE

State

Zip

71201

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/12/2005