ALAN DALE WILLIS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000523

License Status

INACTIVE

Business

First Name

ALAN DALE

Last Name

WILLIS

Suffix

DDS

Business Name

ALAN DALE WILLIS DDS

Original Issue Date

11/18/1966

Effective Date

08/28/2015

Expiration Date

09/30/2018

City

BONITA SPRINGS

State

Zip

34135

County

FLORIDA

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

06/07/2018