THEODORE R PRICE JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018534

License Status

NOT RENEWED

Business

First Name

THEODORE R

Last Name

PRICE JR

Business Name

THEODORE R PRICE JR

Original Issue Date

07/13/1983

Effective Date

08/16/2012

Expiration Date

09/30/2015

City

MILWAUKEE

State

Zip

53224

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016