CLARK W MARTINEAU DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022745

License Status

INACTIVE

Business

First Name

CLARK W

Last Name

MARTINEAU

Suffix

DMD

Business Name

CLARK W MARTINEAU DMD

Original Issue Date

01/02/1992

Effective Date

08/23/2012

Expiration Date

09/30/2015

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/08/2015