LAWRENCE JOHN WIATR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013033

License Status

INACTIVE

Business

First Name

LAWRENCE JOHN

Last Name

WIATR

Suffix

DDS

Business Name

LAWRENCE JOHN WIATR DDS

Original Issue Date

07/29/1966

Effective Date

07/29/1966

Expiration Date

09/30/2004

City

MENOMONIE

State

Zip

54751

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005