WALLACE JOHN CONNELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013577

License Status

NOT RENEWED

Business

First Name

WALLACE JOHN

Last Name

CONNELL

Suffix

DDS

Business Name

WALLACE JOHN CONNELL DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1984

City

JUNEAU

State

Zip

99801

County

ALASKA

Ever Disciplined

LastModifiedDate

10/12/2005