BROCKTON R WILLEY DDS - Dentist License in Michigan | # 019030407

BROCKTON R WILLEY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030407

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

BROCKTON

Middle

R

Last Name

WILLEY

Business Name

BROCKTON R WILLEY DDS

Original Issue Date

08/04/2015

Effective Date

08/27/2018

Expiration Date

01/31/2022

State

MI

Ever Disciplined

N

LastModifiedDate

05/09/2022