Maynard James Marshall Dds
InactiveIllinois license 019014620
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019014620
- Status
- Inactive
- First issued
- July 11, 1973
- Expired
- September 30, 1990
- License holder
- Maynard James Marshall Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/11/1973
Contact
Madison, WI 53705
Wisconsin County