DANIEL K MARTISIUS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001473

License Status

INACTIVE

Business

First Name

DANIEL K

Last Name

MARTISIUS

Business Name

DANIEL K MARTISIUS

Original Issue Date

01/17/1990

Effective Date

01/17/1990

Expiration Date

09/30/1996

City

MONROE

State

Zip

71201

County

LOUISIANA

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005