DARYL J MARTIN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020428

License Status

INACTIVE

Business

First Name

DARYL J

Last Name

MARTIN

Business Name

DARYL J MARTIN

Original Issue Date

12/22/1986

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FENTON

State

Zip

63026

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/24/2006