TIMOTHY RAY MATHIS DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023048

License Status

INACTIVE

Business

First Name

TIMOTHY RAY

Last Name

MATHIS

Suffix

DMD

Business Name

TIMOTHY RAY MATHIS DMD

Original Issue Date

10/07/1992

Effective Date

10/07/1992

Expiration Date

09/30/1994

City

FRANKLIN

State

Zip

37064

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/12/2005