MANNIE MARTIN BECK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

MANNIE MARTIN

Last Name

BECK

Suffix

DDS

Business Name

MANNIE MARTIN BECK DDS

Original Issue Date

01/01/1998

Effective Date

07/30/2024

Expiration Date

09/30/2027

City

RACINE

State

Zip

53402

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2024