ALAN DALE WILLIS DDS - Dentist License in Florida | # 021000523

ALAN DALE WILLIS DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000523

License Status

INACTIVE

Business

N

First Name

ALAN DALE

Last Name

WILLIS

Suffix

DDS

Business Name

ALAN DALE WILLIS DDS

Original Issue Date

11/18/1966

Effective Date

08/28/2015

Expiration Date

09/30/2018

State

FL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

06/07/2018