HENRIE ETTA BALTIMORE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018973

License Status

NOT RENEWED

Business

First Name

HENRIE ETTA

Last Name

BALTIMORE

Business Name

HENRIE ETTA BALTIMORE

Original Issue Date

03/10/1984

Effective Date

03/10/1984

Expiration Date

09/30/1984

City

MADISON

State

Zip

37115

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/12/2005