DALE ADDISON DRAKE DDS - Dentist License in Illinois | # 019015991

DALE ADDISON DRAKE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015991

License Status

NOT RENEWED

Business

N

First Name

DALE ADDISON

Last Name

DRAKE

Suffix

DDS

Business Name

DALE ADDISON DRAKE DDS

Original Issue Date

06/28/1977

Effective Date

09/18/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022