THOMAS W MANFIELD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013530

License Status

INACTIVE

Business

First Name

THOMAS W

Last Name

MANFIELD

Business Name

THOMAS W MANFIELD

Original Issue Date

12/20/1968

Effective Date

12/20/1968

Expiration Date

09/30/1990

City

HAYWARD

State

Zip

54843

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005