DOUGLAS R WALL - Dentist License in California | # 019018239

DOUGLAS R WALL

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018239

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS R

Last Name

WALL

Business Name

DOUGLAS R WALL

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/2004

State

CA

Ever Disciplined

N

LastModifiedDate

10/17/2005