KEITH D DAVIS DDS - Dentist License in Wisconsin | # 019013586

KEITH D DAVIS DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013586

License Status

INACTIVE

Business

N

First Name

KEITH D

Last Name

DAVIS

Suffix

DDS

Business Name

KEITH D DAVIS DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1990

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005