ALAN DALE WILLIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012643

License Status

ACTIVE

Business

First Name

ALAN DALE

Last Name

WILLIS

Suffix

DDS

Business Name

ALAN DALE WILLIS DDS

Original Issue Date

11/25/1964

Effective Date

09/07/2024

Expiration Date

09/30/2027

City

BONITA SPRINGS FL

State

Zip

34135

Ever Disciplined

LastModifiedDate

09/07/2024