DOUGLAS R WALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018239

License Status

NOT RENEWED

Business

First Name

DOUGLAS R

Last Name

WALL

Business Name

DOUGLAS R WALL

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/2004

City

LONG BEACH

State

Zip

90804

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005