MAYNARD JAMES MARSHALL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014620

License Status

INACTIVE

Business

First Name

MAYNARD JAMES

Last Name

MARSHALL

Suffix

DDS

Business Name

MAYNARD JAMES MARSHALL DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/1990

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005