DAVID GUSTAVUS WILSON III DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013706

License Status

INACTIVE

Business

First Name

DAVID GUSTAVUS

Last Name

WILSON III

Suffix

DDS

Business Name

DAVID GUSTAVUS WILSON III DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1990

City

PORT CHARLOTTE

State

Zip

33952

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005