CLAY G VANDER WALL DDS - Dentist License in North Carolina | # 019027465

CLAY G VANDER WALL DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027465

License Status

INACTIVE

Business

N

First Name

CLAY

Middle

G

Last Name

VANDER WALL

Suffix

DDS

Business Name

CLAY G VANDER WALL DDS

Original Issue Date

07/13/2007

Effective Date

07/28/2009

Expiration Date

09/30/2012

State

NC

Ever Disciplined

N

LastModifiedDate

06/06/2012