CARL WESLEY LUSBY JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010216

License Status

NOT RENEWED

Business

First Name

CARL WESLEY

Last Name

LUSBY JR

Business Name

CARL WESLEY LUSBY JR

Original Issue Date

12/02/1952

Effective Date

12/02/1952

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005