CHARLES F MATTINGLY III DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021937

License Status

INACTIVE

Business

First Name

CHARLES F

Last Name

MATTINGLY III

Suffix

DDS

Business Name

CHARLES F MATTINGLY III DDS

Original Issue Date

02/15/1990

Effective Date

02/15/1990

Expiration Date

09/30/1992

City

JEFFERSON CITY

State

Zip

65109

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005