JOHN W FUQUA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019004466

License Status

NOT RENEWED

Business

First Name

JOHN W

Last Name

FUQUA

Business Name

JOHN W FUQUA

Original Issue Date

07/29/1925

Effective Date

07/29/1925

Expiration Date

09/30/1984

City

LEWISTOWN

State

Zip

63452

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005