MICHAEL W MARTIN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018926

License Status

INACTIVE

Business

First Name

MICHAEL W

Last Name

MARTIN

Business Name

MICHAEL W MARTIN

Original Issue Date

12/13/1983

Effective Date

12/13/1983

Expiration Date

09/30/1994

City

WARRENSBURG

State

Zip

64093

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005