ROY E WALLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019007475

License Status

NOT RENEWED

Business

First Name

ROY E

Last Name

WALLER

Suffix

DDS

Business Name

ROY E WALLER DDS

Original Issue Date

03/04/1937

Effective Date

03/04/1937

City

CLEARWATER

State

Zip

33520

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005