WILLIS WALTER WICK DDS - Dentist License in Wisconsin | # 019011961

WILLIS WALTER WICK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011961

License Status

NOT RENEWED

Business

N

First Name

WILLIS WALTER

Last Name

WICK

Suffix

DDS

Business Name

WILLIS WALTER WICK DDS

Original Issue Date

08/02/1961

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

WI

Ever Disciplined

N

LastModifiedDate

11/08/2006