WALLACE JOHN CONNELL DDS - Dentist License in Alaska | # 019013577

WALLACE JOHN CONNELL DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013577

License Status

NOT RENEWED

Business

N

First Name

WALLACE JOHN

Last Name

CONNELL

Suffix

DDS

Business Name

WALLACE JOHN CONNELL DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1984

State

AK

Ever Disciplined

N

LastModifiedDate

10/12/2005