DONALD KENNETH BAXTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010422

License Status

NOT RENEWED

Business

First Name

DONALD KENNETH

Last Name

BAXTER

Business Name

DONALD KENNETH BAXTER

Original Issue Date

12/09/1953

Effective Date

12/09/1953

Expiration Date

09/30/1984

City

BARABOO

State

Zip

53913

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005