DAVID T BEVERLY III DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012880

License Status

NOT RENEWED

Business

First Name

DAVID T

Last Name

BEVERLY III

Suffix

DDS

Business Name

DAVID T BEVERLY III DDS

Original Issue Date

07/29/1966

Effective Date

07/29/1966

Expiration Date

09/30/1984

City

SHALIMAR

State

Zip

32579

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005