TIMOTHY M CHURCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022334

License Status

NOT RENEWED

Business

First Name

TIMOTHY M

Last Name

CHURCH

Suffix

DDS

Business Name

TIMOTHY M CHURCH DDS

Original Issue Date

11/21/1990

Effective Date

11/21/1990

Expiration Date

09/30/1996

City

FINKSBURG

State

Zip

21048

County

MARYLAND

Ever Disciplined

LastModifiedDate

10/12/2005