MARVIN W PETASHNICK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012856

License Status

NOT RENEWED

Business

First Name

MARVIN W

Last Name

PETASHNICK

Suffix

DDS

Business Name

MARVIN W PETASHNICK DDS

Original Issue Date

11/23/1965

Effective Date

11/23/1965

Expiration Date

09/30/1984

City

MILWAUKEE

State

Zip

53210

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005